SOUTH BROWARD HOSPITAL DISTRICT
NPI 1528659679
Pediatrics - Pediatric Gastroenterology in Hollywood, FL
About South Broward Hospital District NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH BROWARD HOSPITAL DISTRICT (NPI 1528659679), doing business as Memorial Division Of Complex Pediatric Gastroenterology, is a healthcare organization registered as a pediatric gastroenterology in Hollywood, Florida and active in the NPI registry since February 2021. The organization maintains 5 additional practice locations and lists Esther Surujon, Cfo Memorial Physician Group & Mpc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South Broward Hospital District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
77Medicare enrollment records show 77 clinicians reassign Medicare billing to South Broward Hospital District, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 57 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 16
Nearest to this location (20)
See all 77Source: 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 1528659679. It was assigned to this organization in the NPPES registry on February 1, 2021. The provider is doing business as Memorial Division of Complex Pediatric Gastroenterology.
Where is South Broward Hospital District located?
South Broward Hospital District is located at 1131 N 35th Ave Ste 300, Hollywood, FL 33021. The listed phone number is (954) 265-4475.
What is South Broward Hospital District's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
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), 77 clinicians in 16 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 (21), Pediatric Medicine (13) and Cardiovascular Disease (Cardiology) (10). Of these, 21 practice at this address and 57 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Broward Hospital District accept?
Health plans from 22 Health, Ambetter Health, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 2 other insurers list South Broward Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for South Broward Hospital District was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# South Broward Hospital District · NPI 1528659679
Pediatric Gastroenterology organization in Hollywood, Florida. Organization record, active in the CMS NPPES registry since February 1, 2021.
## Identity
- **NPI:** 1528659679 (Entity type: Organization)
- **Enumerated:** February 1, 2021
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **Also known as:** Memorial Division of Complex Pediatric Gastroenterology (Doing Business As)
- **Organization subpart:** Yes (part of South Broward Hospital District)
- **Authorized official:** Esther Surujon, CFO MEMORIAL PHYSICIAN GROUP & MPC
## Practice location
- **Address:** 1131 N 35TH AVE STE 300, Hollywood, FL 33021-5403
- **Phone:** (954) 265-4475 · **Fax:** (954) 276-0754
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 77 clinicians in 16 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Pediatric Medicine (13), Cardiovascular Disease (Cardiology) (10); 21 practice at this address and 57 within 10 miles; [full list](https://npiprofile.com/npi/1528659679/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1528659679) · Data from the CMS NPPES public registry.