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SOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC
NPI 1629789417
Clinic/Center - Multi-Specialty in Homestead, FL

Active since December 12, 2022
1036 NW 1ST AVE, HOMESTEAD, FL 33030(833) 735-3668(866) 897-7014 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About South Florida Multi-specialty Medical Group Llc NPPES

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

SOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC (NPI 1629789417) is a healthcare organization registered as a multi-specialty in Homestead, Florida and active in the NPI registry since December 2022. The organization lists Peter H Hanna, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629789417
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSOUTH FLORIDA MULTI-SPECIALTY MEDICAL GROUP LLC
Location Address1036 NW 1ST AVEHomestead, FL 33030-4417
Mailing Address8950 Sw 74th Ct Ste 1408Miami, FL 33156-3173 · (833) 735-3668 · Fax (866) 897-7014
Phone(833) 735-3668
Fax(866) 897-7014
Organization SubpartNo
Authorized OfficialPeter H HannaCeo · (833) 735-3668
Enumeration DateDecember 12, 2022
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
✔ NPI 1629789417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
1036 NW 1ST AVE, Homestead, FL 33030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

South Florida Multi-specialty Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to South Florida Multi-Specialty Medical Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Miguel Carmona, ARNP
Nurse Practitioner
NPI 1952028193
18303 SW 146TH CT
Miami, FL 33177
(786) 470-0579
✔ PECOS✔ Accepts Medicare8.6 mi
Yelliann Ruiz Irizarry, MD
Rheumatology
NPI 1083846893
9299 SW 152ND ST STE 205
Palmetto Bay, FL 33157
(305) 901-6890
✔ PECOS✔ Accepts Medicare13 mi
Luis Hernandez Rosado, M.D.
Internal Medicine
NPI 1144527466
12780 SW 71ST AVE
Pinecrest, FL 33156
(787) 902-2594
✔ PECOS✔ Accepts Medicare16 mi
Daniel Ginsberg, DPM
Podiatry
NPI 1841873320
8950 SW 74TH CT STE 1408
Miami, FL 33156
(833) 735-3668
✔ PECOS✔ Accepts Medicare18 mi
Peter Hanna, DPM
Podiatry
NPI 1023465903
8950 SW 74TH CT STE 1408
Miami, FL 33156
(833) 735-3668
✔ PECOS✔ Accepts Medicare18 mi
Kevin-Mitchel Suarez, DPM
Podiatry
NPI 1306522859
8950 SW 74TH CT STE 1408
Miami, FL 33156
(833) 735-3668
✔ PECOS18 mi
Ormelvis Urra, APRN
Nurse Practitioner
NPI 1295496099
7921 BIRD RD STE 39
Miami, FL 33155
(786) 508-4803
✔ PECOS✔ Accepts Medicare20 mi
Siavash Rostami, DPM
Podiatry
NPI 1083145650
475 BILTMORE WAY STE 205
Coral Gables, FL 33134
(833) 735-3668
✔ PECOS✔ Accepts Medicare23 mi

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 Florida Multi-Specialty Medical Group LLC's NPI number?

The NPI number for South Florida Multi-Specialty Medical Group LLC is 1629789417. It was assigned to this organization in the NPPES registry on December 12, 2022.

Where is South Florida Multi-Specialty Medical Group LLC located?

South Florida Multi-Specialty Medical Group LLC is located at 1036 NW 1st Ave, Homestead, FL 33030. The listed phone number is (833) 735-3668.

What is South Florida Multi-Specialty Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is South Florida Multi-Specialty Medical Group LLC enrolled in Medicare?

Yes. South Florida Multi-Specialty Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Florida Multi-Specialty Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to South Florida Multi-Specialty Medical Group 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 Podiatry (4), Nurse Practitioner (2) and Internal Medicine (1). Of these, 1 practice 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 Florida Multi-Specialty Medical Group LLC was last updated on December 13, 2022. 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.