MEMORIAL DIVISION OF TRAUMA
NPI 1659389161
Surgery - Trauma Surgery in Hollywood, FL

Active since August 03, 2006
3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 985-5969(954) 965-3599 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2022, Mar 14, 2018 (2 updates tracked since 2018).

About Memorial Division Of Trauma NPPES

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

MEMORIAL DIVISION OF TRAUMA (NPI 1659389161) is a healthcare organization registered as a trauma surgery in Hollywood, Florida and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Hollywood and lists Esther Surujon, Cfo Mpg, Mpc & Ucc, as its authorized official.

NPPES Registry Identity

NPI1659389161
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address3501 JOHNSON STHollywood, FL 33021-5421
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Fax(954) 965-3599
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Mpc & Ucc · (954) 265-6677
Enumeration DateAugust 3, 2006
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1659389161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
3501 JOHNSON ST, Hollywood, FL 33021

Other Names 1

Doing Business AsMemorial Division Of Trauma

Secondary Practice Location 1

Location 11150 N 35th Ave Ste 650Hollywood, FL 33021-5471 · Phone (954) 265-5969 · Fax (954) 265-9546

Other Identifiers 1

Medicaid038184510FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Division Of Trauma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

461

Medicare enrollment records show 461 clinicians reassign Medicare billing to Memorial Division Of Trauma, which bills Medicare for the services they deliver. Of these, 55 practice at this address and 333 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Nurse Practitioner138
Critical Care (Intensivists)48
Internal Medicine40
Hematology/Oncology36
Family Practice35
Mental Health Counselor21
Obstetrics/Gynecology20
Clinical Social Worker16
25 other specialties107

Nearest to this location (20)

See all 461
Critical Care (Intensivists)
NPI 1255387049
3501 JOHNSON ST MEMORIAL REGIONAL HOSPITAL - DEPT. OF CRITICAL CARE
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1619464716
3501 JOHNSON ST FL 3
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1942501739
3501 JOHNSON ST FL 2
Hollywood, FL 33021
(954) 265-3441
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1407459241
3501 JOHNSON ST
Hollywood, FL 33021
(954) 265-7750
✔ PECOSSame address
Nurse Practitioner
NPI 1477559961
3501 JOHNSON STREET THIRD FLOOR
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558094318
3501 JOHNSON ST
Hollywood, FL 33021
(954) 987-2000
✔ PECOSSame address
Critical Care (Intensivists)
NPI 1568496727
3501 JOHNSON ST MEMORIAL REGIONAL HOSPITAL DEPT. CRITICAL CARE
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1225237043
3501 JOHNSON ST MEMORIAL REGIONAL HOSPITAL
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679088868
3501 JOHNSON STREET THIRD FLOOR
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386624443
3501 JOHNSON ST FL 2
Hollywood, FL 33021
(954) 265-3441
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1710913645
3501 JOHNSON ST
Hollywood, FL 33021
(954) 987-2000
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1972648582
3501 JOHNSON ST FL 2
Hollywood, FL 33021
(954) 265-3441
✔ PECOSSame address
Internal Medicine
NPI 1174934228
3501 JOHNSON ST FL 3
Hollywood, FL 33021
(954) 276-9976
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1114445301
3501 JOHNSON ST
Hollywood, FL 33021
(954) 265-3441
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1396152591
3501 JOHNSON ST
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1376079467
3501 JOHNSON ST FL 2
Hollywood, FL 33021
(954) 265-3441
✔ PECOSSame address
Pulmonary Disease
NPI 1255364592
3501 JOHNSON ST MEMORIAL REGIONAL HOSPITAL - DEPT OF CRITICAL CARE
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1457763054
3501 JOHNSON ST FL 2
Hollywood, FL 33021
(954) 265-3441
✔ PECOSSame address
Psychiatry
NPI 1679511505
3501 JOHNSON ST FL 2
Hollywood, FL 33021
(954) 265-5665
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1174810386
3501 JOHNSON ST
Hollywood, FL 33021
(954) 265-9976
✔ PECOS✔ Accepts MedicareSame address
See all 461 clinicians

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 1659389161. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Memorial Division Of Trauma.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 985-5969.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

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), 461 clinicians in 33 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 (138), Critical Care (Intensivists) (48) and Internal Medicine (40). Of these, 55 practice at this address and 333 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 UnitedHealthcare 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 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.