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BERENICE DEL PILAR ORTEGON ZAMBRANO MD
NPI 1679732374
Internal Medicine - Endocrinology, Diabetes & Metabolism in Coconut Creek, FL

Active since June 06, 2008PECOS EnrolledAccepts Medicare Assignment
4800 W HILLSBORO BLVD STE A6, COCONUT CREEK, FL 33073(954) 481-9184(954) 481-9317 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2020, Mar 27, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Berenice Del Pilar Ortegon Zambrano Md NPPES

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

BERENICE DEL PILAR ORTEGON ZAMBRANO MD (NPI 1679732374) is an individual endocrinology, diabetes & metabolism provider in Coconut Creek, Florida, licensed in Florida (ME119081) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Broward Health North, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1679732374
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameBERENICE DEL PILAR ORTEGON ZAMBRANOCredential: MD
Location Address4800 W HILLSBORO BLVD STE A6Coconut Creek, FL 33073-4330
Mailing Address1700 Nw 49th St Ste 125Fort Lauderdale, FL 33309-3750 · (954) 481-9184 · Fax (954) 481-9317
Phone(954) 481-9184
Fax(954) 481-9317
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 6, 2008
Last NPPES UpdateJune 25, 20204 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
✔ NPI 1679732374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in FL · ME119081
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4800 W HILLSBORO BLVD STE A6, Coconut Creek, FL 33073
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Berenice Del Pilar Ortegon Zambrano Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244429058
PECOS Enrollment IDI20150518001217
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 Reassignments

2

Medicare enrollment records show Berenice Ortegon Zambrano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrine Plus LLC
1.1 mi
Endocrinology, Diabetes & Metabolism
4013 NW 62ND CT
Coconut Creek, FL 33073
  • Reassigned Medicare billing, Florida enrollment
NPI 1710783543 (903) 216-4599
Fort Lauderdale Physician Services, LLC
9.0 mi
Hospitalist
6401 N FEDERAL HWY
Fort Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 81 clinicians in this Medicare group
NPI 1497209027 (954) 776-8500

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
153 services62 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
79 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broward Health North

Acute Care Hospitals · Pompano Beach, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100086
Location201 E Sample RdPompano Beach, FL 33064 · Broward County
Emergency services

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100200
Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Berenice Ortegon Zambrano's NPI number?

The NPI number for Berenice Ortegon Zambrano is 1679732374. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Berenice Ortegon Zambrano located?

Berenice Ortegon Zambrano practices at 4800 W Hillsboro Blvd Ste A6, Coconut Creek, FL 33073. The listed phone number is (954) 481-9184.

What is Berenice Ortegon Zambrano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Berenice Ortegon Zambrano enrolled in Medicare?

Yes. Berenice Ortegon Zambrano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Berenice Ortegon Zambrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Berenice Ortegon Zambrano reassigns Medicare benefits to 2 organizations: Endocrine Plus LLC (Coconut Creek, FL) and Fort Lauderdale Physician Services, LLC (Fort Lauderdale, FL). Each 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 Berenice Ortegon Zambrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Berenice Ortegon Zambrano accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Berenice Ortegon Zambrano 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.

Is Berenice Ortegon Zambrano affiliated with any hospitals?

According to CMS data, Berenice Ortegon Zambrano is affiliated with Broward Health North and Broward Health Imperial Point.

When was this NPI record last updated?

The NPPES record for Berenice Ortegon Zambrano was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.