PHOENIX PEDIATRICS OF BROWARD LLC
NPI 1508815655
Pediatrics in Coral Springs, FL
About Phoenix Pediatrics Of Broward Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX PEDIATRICS OF BROWARD LLC (NPI 1508815655) is a healthcare organization registered as a pediatrics in Coral Springs, Florida and active in the NPI registry since May 2006. The organization lists Christopher Kennedy, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phoenix Pediatrics Of Broward Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
25Medicare enrollment records show 25 clinicians reassign Medicare billing to Phoenix Pediatrics Of Broward LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 25Ft Lauderdale, FL 33316
Fort Lauderdale, FL 33316
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 Phoenix Pediatrics Of Broward LLC's NPI number?
The NPI number for Phoenix Pediatrics Of Broward LLC is 1508815655. It was assigned to this organization in the NPPES registry on May 8, 2006.
Where is Phoenix Pediatrics Of Broward LLC located?
Phoenix Pediatrics Of Broward LLC is located at 3000 Coral Hills Dr, Coral Springs, FL 33065. The listed phone number is (954) 939-5000.
What is Phoenix Pediatrics Of Broward LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Phoenix Pediatrics Of Broward LLC enrolled in Medicare?
Yes. Phoenix Pediatrics Of Broward LLC is registered in the Medicare PECOS enrollment system.
When is Phoenix Pediatrics Of Broward LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Phoenix Pediatrics Of Broward LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 25 clinicians in 3 Medicare specialties reassign their Medicare billing to Phoenix Pediatrics Of Broward LLC. 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 Pediatric Medicine (21), Hospitalist (3) and Obstetrics/Gynecology (1). Of these, 1 practice at this address and 5 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 Phoenix Pediatrics Of Broward LLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Phoenix Pediatrics Of Broward Llc · NPI 1508815655
Pediatrics organization in Coral Springs, Florida. Organization record, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1508815655 (Entity type: Organization)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Christopher Kennedy, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 3000 CORAL HILLS DR, Coral Springs, FL 33065-4108
- **Phone:** (954) 939-5000 · **Fax:** (877) 250-6889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 25 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (21), Hospitalist (3), Obstetrics/Gynecology (1); 1 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1508815655/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508815655) · Data from the CMS NPPES public registry.