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CYPRESS CREEK MEDICAL CENTER,INC
NPI 1699048546
Internal Medicine in Fort Lauderdale, FL

Active since February 22, 2012CLIA 10D0285977 · Waiver
912 NE 62ND ST, FORT LAUDERDALE, FL 33334(954) 771-3113(954) 771-2856 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cypress Creek Medical Center,inc NPPES

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

CYPRESS CREEK MEDICAL CENTER,INC (NPI 1699048546) is a healthcare organization registered as an internal medicine in Fort Lauderdale, Florida and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Avtar Sandhu, President, as its authorized official.

NPPES Registry Identity

NPI1699048546
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCYPRESS CREEK MEDICAL CENTER,INC
Location Address912 NE 62ND STFort Lauderdale, FL 33334-4110
Mailing Address912 Ne 62nd StFort Lauderdale, FL 33334-4110 · (954) 771-3113 · Fax (954) 771-2856
Phone(954) 771-3113
Fax(954) 771-2856
Organization SubpartNo
Authorized OfficialAvtar SandhuPresident · (954) 771-3113
Enumeration DateFebruary 22, 2012
✔ NPI 1699048546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME0041535
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
912 NE 62ND ST, Fort Lauderdale, FL 33334
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND78859FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cypress Creek Medical Center,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cypress Creek Medical Center,inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sherbaz Mann, MD
Family Practice
NPI 1164046496
7031 SW 62 AVENUE
Miami, FL 33143
(305) 284-7761
✔ PECOS✔ Accepts Medicare36 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0285977

Cypress Creek Medical Center · Fort Lauderdale, FL
Active · expires Aug 31, 2028
CLIA Number10D0285977
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorAvtar Sannhu
Laboratory Phone(954) 771-3113
Laboratory LocationCypress Creek Medical Center912 NE 62nd Street, Fort Lauderdale, FL 33334
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cypress Creek Medical Center,inc's NPI number?

The NPI number for Cypress Creek Medical Center,inc is 1699048546. It was assigned to this organization in the NPPES registry on February 22, 2012.

Where is Cypress Creek Medical Center,inc located?

Cypress Creek Medical Center,inc is located at 912 NE 62nd St, Fort Lauderdale, FL 33334. The listed phone number is (954) 771-3113.

What is Cypress Creek Medical Center,inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cypress Creek Medical Center,inc enrolled in Medicare?

Yes. Cypress Creek Medical Center,inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cypress Creek Medical Center,inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Cypress Creek Medical Center,inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cypress Creek Medical Center,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0285977) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cypress Creek Medical Center,inc was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.