BETHESDA MEDICAL CLINIC, LLC
NPI 1710450267
Internal Medicine in Davie, FL

Active since January 08, 2019
11050 GRIFFIN RD STE 104, DAVIE, FL 33328(954) 824-1922(954) 281-9446 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Mar 18, 2026, Jan 8, 2019 (3 updates tracked since 2019).

About Bethesda Medical Clinic, Llc NPPES

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

BETHESDA MEDICAL CLINIC, LLC (NPI 1710450267) is a healthcare organization registered as an internal medicine in Davie, Florida and active in the NPI registry since January 2019. The organization lists Shibu Varughese, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710450267
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETHESDA MEDICAL CLINIC, LLC
Location Address11050 GRIFFIN RD STE 104Davie, FL 33328-3227
Mailing Address11050 Griffin Rd Ste 104Davie, FL 33328-3227 · (954) 824-1922 · Fax (954) 281-9446
Fax(954) 281-9446
Organization SubpartNo
Authorized OfficialShibu VarugheseMedical Director · (504) 265-8304
Enumeration DateJanuary 8, 2019
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1710450267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
11050 GRIFFIN RD STE 104, Davie, FL 33328

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethesda Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bethesda Medical Clinic, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Endocrinology
NPI 1538492517
1151 BARATARIA BLVD STE 3400
Marrero, LA 70072
(504) 265-8304
✔ PECOS✔ Accepts Medicare654 mi
Internal Medicine
NPI 1346475506
1151 BARATARIA BLVD STE 3400
Marrero, LA 70072
(504) 265-8304
✔ PECOS✔ Accepts Medicare654 mi

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 Bethesda Medical Clinic, LLC's NPI number?

The NPI number for Bethesda Medical Clinic, LLC is 1710450267. It was assigned to this organization in the NPPES registry on January 8, 2019.

Where is Bethesda Medical Clinic, LLC located?

Bethesda Medical Clinic, LLC is located at 11050 Griffin Rd Ste 104, Davie, FL 33328. The listed phone number is (954) 824-1922.

What is Bethesda Medical Clinic, LLC's specialty?

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

Is Bethesda Medical Clinic, LLC enrolled in Medicare?

Yes. Bethesda Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bethesda Medical Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bethesda Medical Clinic, LLC, in Endocrinology and Internal Medicine. 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.

When was this NPI record last updated?

The NPPES record for Bethesda Medical Clinic, LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.