MEMORIAL PRIMARY CARE SPORTS MEDICINE
NPI 1548937907
Clinic/Center - Multi-Specialty in Miramar, FL
About Memorial Primary Care Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL PRIMARY CARE SPORTS MEDICINE (NPI 1548937907) is a healthcare organization registered as a multi-specialty in Miramar, Florida and active in the NPI registry since August 2021. The organization lists Esther Surujon, Cfo Mpg, Mpc And Ucc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Memorial Primary Care Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Memorial Primary Care Sports Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 1548937907. It was assigned to this organization in the NPPES registry on August 24, 2021. The provider is doing business as Memorial Primary Care Sports Medicine.
Where is South Broward Hospital District located?
South Broward Hospital District is located at 1951 SW 172nd Ave Ste 405, Miramar, FL 33029. The listed phone number is (954) 265-7550.
What is South Broward Hospital District's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
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), 1 clinician (Sports Medicine) reassigns 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Broward Hospital District accept?
Health plans from AvMed 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 August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Memorial Primary Care Sports Medicine · NPI 1548937907
Multi-Specialty organization in Miramar, Florida. Organization record, active in the CMS NPPES registry since August 24, 2021.
## Identity
- **NPI:** 1548937907 (Entity type: Organization)
- **Enumerated:** August 24, 2021
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** South Broward Hospital District
- **Organization subpart:** Yes (part of South Broward Hospital District)
- **Authorized official:** Esther Surujon, CFO MPG, MPC AND UCC
## Practice location
- **Address:** 1951 SW 172ND AVE STE 405, Miramar, FL 33029-5614
- **Phone:** (954) 265-7550 · **Fax:** (954) 276-0250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Sports Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1548937907) · Data from the CMS NPPES public registry.