MATTHEW L FAZEKAS MD
NPI 1639469463
Pediatrics - Sports Medicine in Hollywood, FL

Q: What is Matthew Fazekas's NPI number?

The NPI number for Matthew Fazekas is 1639469463. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Q: What is Matthew Fazekas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Fazekas was last updated on March 16, 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.

Active since April 13, 2011PECOS Enrolled

1150 N 35TH AVE, SUITE 345, HOLLYWOOD, FL 33021(954) 265-6300(954) 961-3600 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2021, Jun 26, 2018 (2 updates tracked since 2018).

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About Matthew L Fazekas Md NPPES

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

MATTHEW L FAZEKAS MD (NPI 1639469463) is an individual sports medicine provider in Hollywood, Florida, licensed in Florida (ME124479) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639469463

Entity TypeIndividualMale

Primary Taxonomy2080S0010X

Provider Legal NameMATTHEW L FAZEKASCredential: MD

Location Address1150 N 35TH AVE, SUITE 345Hollywood, FL 33021

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074

Phone(954) 265-6300

Fax(954) 961-3600

Sole ProprietorNo

Enumeration DateApril 13, 2011

Last NPPES UpdateMarch 16, 20212 updates tracked since enumeration

NPPES CertifiedMarch 16, 2021

✔ NPI 1639469463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

License✔ Licensed in FL · ME124479

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1150 N 35TH AVE, Hollywood, FL 33021

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Other Identifiers 1

Medicaid015053000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew L Fazekas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Fazekas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Broward Hospital District

0.7 mi

Pediatric Orthopaedic Surgery

3440 HOLLYWOOD BLVD STE 140
Hollywood, FL 33021

Reassigned Medicare billing, Florida enrollment
11 clinicians in this Medicare group

NPI 1407865520 (954) 265-6300

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALLISON MARIE MELOGRANO AU.D

Audiologist

1150 N 35TH AVE, SUITE 490
HOLLYWOOD, FL 33021

Broward County (954) 265-1616

DR. LAWRENCE STEPHEN BURNS M.D.

Otolaryngology

1150 N 35TH AVE, SUITE 205
HOLLYWOOD, FL 33021

Broward County (954) 583-7770

RALPH WILLIAM CHARLTON MD MAS

Pediatrics (Pediatric Endocrinology)

1150 N 35TH AVE, SUITE 520
HOLLYWOOD, FL 33021

Broward County (954) 265-6984

ANGELICA ROCIO JIMENEZ M.D.

Family Medicine (Geriatric Medicine)

1150 N 35TH AVE, SUITE 135
HOLLYWOOD, FL 33021

Broward County (954) 265-6989

MARC JEAN-BAPTISTE MD

Hospitalist

1150 N 35TH AVE, SUITE 135
HOLLYWOOD, FL 33021

Broward County (954) 265-6989

LAWRENCE MICHAEL REISS MD

Internal Medicine (Cardiovascular Disease)

1150 N 35TH AVE, SUITE 605
HOLLYWOOD, FL 33021

Broward County (954) 265-7900

RALPH LEVY MD

Internal Medicine (Cardiovascular Disease)

1150 N 35TH AVE, SUITE 605
HOLLYWOOD, FL 33021

Broward County (954) 265-7900

MARTIN FEINROTH MD

Internal Medicine (Nephrology)

1150 N 35TH AVE, SUITE 620
HOLLYWOOD, FL 33021

Broward County (954) 989-9533

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 Matthew Fazekas's NPI number?

The NPI number for Matthew Fazekas is 1639469463. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Matthew Fazekas located?

Matthew Fazekas practices at 1150 N 35th Ave Suite 345, Hollywood, FL 33021. The listed phone number is (954) 265-6300.

What is Matthew Fazekas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Matthew Fazekas enrolled in Medicare?

Yes. Matthew Fazekas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Fazekas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Fazekas reassigns Medicare benefits to South Broward Hospital District (Hollywood, FL). The 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 Matthew Fazekas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Fazekas accept?

Health plans from 22 Health, Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Matthew Fazekas 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 Matthew Fazekas was last updated on March 16, 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.