MEMORIAL HOUSE STAFF PHYSICIANS
NPI 1407897960
Specialist in Hollywood, FL

Q: What is South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1407897960. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Memorial House Staff Physicians.

Q: What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 08, 2006

3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 987-2000(954) 602-2813 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Memorial House Staff Physicians NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL HOUSE STAFF PHYSICIANS (NPI 1407897960) is a healthcare organization registered as a specialist in Hollywood, Florida and active in the NPI registry since June 2006. The organization lists Peter Powers, Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1407897960

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT

Location Address3501 JOHNSON STHollywood, FL 33021-5421

Mailing AddressPo Box 862233Orlando, FL 32886-2233 · (954) 987-2000 · Fax (954) 602-2813

Phone(954) 987-2000

Fax(954) 602-2813

Organization SubpartNo

Authorized OfficialPeter PowersHospital Administrator · (954) 265-5814

Enumeration DateJune 8, 2006

Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration

NPPES CertifiedOctober 12, 2021

✔ NPI 1407897960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3501 JOHNSON ST, Hollywood, FL 33021

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Other Names 1

Doing Business AsMemorial House Staff Physicians

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Memorial House Staff Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

461

Medicare enrollment records show 461 clinicians reassign Medicare billing to Memorial House Staff Physicians, which bills Medicare for the services they deliver. Of these, 55 practice at this address and 332 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Nurse Practitioner138

Critical Care (Intensivists)48

Internal Medicine40

Hematology/Oncology36

Family Practice35

Mental Health Counselor21

Obstetrics/Gynecology20

Clinical Social Worker16

25 other specialties107

Nearest to this location (20)

See all 461

Robert Alterbaum, M.D.

Critical Care (Intensivists)

NPI 1255387049

3501 JOHNSON ST MEMORIAL REGIONAL HOSPITAL - DEPT. OF CRITICAL CARE
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

Andrea Alvarado

Critical Care (Intensivists)

NPI 1619464716

3501 JOHNSON ST FL 3
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

Fausto Andrade Rodriguez, M.D.

Obstetrics/Gynecology

NPI 1942501739

3501 JOHNSON ST FL 2
Hollywood, FL 33021

(954) 265-3441

✔ PECOS✔ Accepts MedicareSame address

Nazeem Arshad

Nurse Practitioner

NPI 1407459241

3501 JOHNSON ST
Hollywood, FL 33021

(954) 265-7750

✔ PECOSSame address

Maria Barrientos, ARNP

Nurse Practitioner

NPI 1477559961

3501 JOHNSON STREET THIRD FLOOR
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

Alexander Bellicini, APRN

Nurse Practitioner

NPI 1558094318

3501 JOHNSON ST
Hollywood, FL 33021

(954) 987-2000

✔ PECOSSame address

Dahlia Blake, MD

Critical Care (Intensivists)

NPI 1568496727

3501 JOHNSON ST MEMORIAL REGIONAL HOSPITAL DEPT. CRITICAL CARE
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

Esaie Carisma, D.O.

Critical Care (Intensivists)

NPI 1225237043

3501 JOHNSON ST MEMORIAL REGIONAL HOSPITAL
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

Melissa Chamberlain

Nurse Practitioner

NPI 1679088868

3501 JOHNSON STREET THIRD FLOOR
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

Timothy De Santis, MD

Obstetrics/Gynecology

NPI 1386624443

3501 JOHNSON ST FL 2
Hollywood, FL 33021

(954) 265-3441

✔ PECOS✔ Accepts MedicareSame address

Martinus Dyrud, D.O.

Internal Medicine

NPI 1710913645

3501 JOHNSON ST
Hollywood, FL 33021

(954) 987-2000

✔ PECOS✔ Accepts MedicareSame address

Sandria Fearon Hardy, APRN CNM

Certified Nurse Midwife (CNM)

NPI 1972648582

3501 JOHNSON ST FL 2
Hollywood, FL 33021

(954) 265-3441

✔ PECOSSame address

Armand Golchin, M.D.

Internal Medicine

NPI 1174934228

3501 JOHNSON ST FL 3
Hollywood, FL 33021

(954) 276-9976

✔ PECOS✔ Accepts MedicareSame address

Nicholas Jeffrey, MD, MPH

Obstetrics/Gynecology

NPI 1114445301

3501 JOHNSON ST
Hollywood, FL 33021

(954) 265-3441

✔ PECOS✔ Accepts MedicareSame address

Veronica Montes-Berrios, M.D.

Anesthesiology

NPI 1396152591

3501 JOHNSON ST
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

Maricel Perez Torres, APRN CNM

Certified Nurse Midwife (CNM)

NPI 1376079467

3501 JOHNSON ST FL 2
Hollywood, FL 33021

(954) 265-3441

✔ PECOSSame address

Raciel Pintado, M.D.

Pulmonary Disease

NPI 1255364592

3501 JOHNSON ST MEMORIAL REGIONAL HOSPITAL - DEPT OF CRITICAL CARE
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

Sarah Plourde, APRN CNM

Certified Nurse Midwife (CNM)

NPI 1457763054

3501 JOHNSON ST FL 2
Hollywood, FL 33021

(954) 265-3441

✔ PECOSSame address

Jorge Sotelo, M.D.

Psychiatry

NPI 1679511505

3501 JOHNSON ST FL 2
Hollywood, FL 33021

(954) 265-5665

✔ PECOS✔ Accepts MedicareSame address

Moses Washington, M.D.

Emergency Medicine

NPI 1174810386

3501 JOHNSON ST
Hollywood, FL 33021

(954) 265-9976

✔ PECOS✔ Accepts MedicareSame address

See all 461 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1407897960. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Memorial House Staff Physicians.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 987-2000.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is South Broward Hospital District enrolled in Medicare?

Yes. South Broward Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Broward Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 461 clinicians in 33 Medicare specialties reassign their Medicare billing to South Broward Hospital District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (138), Critical Care (Intensivists) (48) and Internal Medicine (40). Of these, 55 practice at this address and 332 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Broward Hospital District was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.