ROBERT C SIUDMAK & ASSOCIATES MD PA
NPI 1669495842
Obstetrics & Gynecology in Hollywood, FL

Active since July 26, 2006
3801 HOLLYWOOD BLVD, SUITE 250, HOLLYWOOD, FL 33021(954) 961-8303(954) 961-8307 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert C Siudmak & Associates Md Pa NPPES

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

ROBERT C SIUDMAK & ASSOCIATES MD PA (NPI 1669495842) is a healthcare organization registered as an obstetrics & gynecology in Hollywood, Florida and active in the NPI registry since July 2006. The organization lists Robert C Siudmak, President, as its authorized official.

NPPES Registry Identity

NPI1669495842
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameROBERT C SIUDMAK & ASSOCIATES MD PA
Location Address3801 HOLLYWOOD BLVD, SUITE 250Hollywood, FL 33021-6758
Mailing Address3801 Hollywood Blvd, Suite 250Hollywood, FL 33021-6758 · (954) 961-8303 · Fax (954) 961-8307
Fax(954) 961-8307
Organization SubpartNo
Authorized OfficialRobert C SiudmakPresident · (954) 961-8303
Enumeration DateJuly 26, 2006
Last NPPES UpdateMay 21, 2013
✔ NPI 1669495842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME40226
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3801 HOLLYWOOD BLVD, Hollywood, FL 33021

Other Identifiers 2

Medicaid067037500FL
Medicare PIN99413

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert C Siudmak & Associates Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20120125000449Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Robert C Siudmak & Associates MD PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Obstetrics/Gynecology
NPI 1073792180
3801 HOLLYWOOD BLVD SUITE 250
Hollywood, FL 33021
(954) 961-8303
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1891029583
3801 HOLLYWOOD BLVD SUITE 250
Hollywood, FL 33021
(954) 961-8303
✔ PECOSSame address

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 Robert C Siudmak & Associates MD PA's NPI number?

The NPI number for Robert C Siudmak & Associates MD PA is 1669495842. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Robert C Siudmak & Associates MD PA located?

Robert C Siudmak & Associates MD PA is located at 3801 Hollywood Blvd Suite 250, Hollywood, FL 33021. The listed phone number is (954) 961-8303.

What is Robert C Siudmak & Associates MD PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert C Siudmak & Associates MD PA enrolled in Medicare?

Yes. Robert C Siudmak & Associates MD PA is registered in the Medicare PECOS enrollment system.

When is Robert C Siudmak & Associates MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Robert C Siudmak & Associates MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Robert C Siudmak & Associates MD PA, in Certified Nurse Midwife (CNM) and Obstetrics/Gynecology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Robert C Siudmak & Associates MD PA accept?

Health plans from AvMed list Robert C Siudmak & Associates MD PA 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 Robert C Siudmak & Associates MD PA was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.