MEMORIAL DIVISION OF MATERNAL FETAL MEDICINE
NPI 1831810977
Obstetrics & Gynecology - Maternal & Fetal Medicine in Pembroke Pines, FL

Active since September 07, 2022CLIA Certified · 2 labs
601 N FLAMINGO RD STE 408, PEMBROKE PINES, FL 33028(954) 265-3015(954) 276-0069 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, Jun 21, 2023, Sep 19, 2022 and 1 more (4 updates tracked since 2022).

About Memorial Division Of Maternal Fetal Medicine NPPES

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

MEMORIAL DIVISION OF MATERNAL FETAL MEDICINE (NPI 1831810977) is a healthcare organization registered as a maternal & fetal medicine in Pembroke Pines, Florida and active in the NPI registry since September 2022. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Aventura, and lists Esther Surujon, Cfo Mpg, Mpc & Ucc, as its authorized official.

NPPES Registry Identity

NPI1831810977
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameSOUTH BROWARD HOSPITAL DISTRICT
Location Address601 N FLAMINGO RD STE 408Pembroke Pines, FL 33028-1012
Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074
Fax(954) 276-0069
Organization SubpartYes
Authorized OfficialEsther SurujonCfo Mpg, Mpc & Ucc · (954) 265-6677
Enumeration DateSeptember 7, 2022
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1831810977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
601 N FLAMINGO RD STE 408, Pembroke Pines, FL 33028

Other Names 1

Doing Business AsMemorial Division Of Maternal Fetal Medicine

Secondary Practice Location 1

Location 120801 Biscayne Blvd Ste 200Aventura, FL 33180-1422 · Phone (954) 265-3015 · Fax (954) 276-0069

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 Maternal Fetal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Memorial Division Of Maternal Fetal Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Registered Dietitian or Nutrition Professional
NPI 1831910769
601 N FLAMINGO RD STE 408
Pembroke Pines, FL 33028
(954) 265-3015
Same address
Obstetrics/Gynecology
NPI 1972861078
601 N FLAMINGO RD STE 408
Pembroke Pines, FL 33028
(954) 265-3015
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1982921730
601 N FLAMINGO RD STE 408
Pembroke Pines, FL 33028
(954) 265-3015
✔ PECOS✔ Accepts Medicare6.7 mi
Obstetrics/Gynecology
NPI 1871214726
601 N FLAMINGO RD STE 408
Pembroke Pines, FL 33028
(954) 265-3015
✔ PECOS✔ Accepts Medicare6.8 mi
Nurse Practitioner
NPI 1285407387
601 N FLAMINGO RD STE 408
Pembroke Pines, FL 33028
(954) 265-3015
✔ PECOS✔ Accepts Medicare6.8 mi
Obstetrics/Gynecology
NPI 1104840719
4105 PEMBROKE RD
Hollywood, FL 33021
(954) 265-3015
✔ PECOS✔ Accepts Medicare8.0 mi
Obstetrics/Gynecology
NPI 1679532337
20801 BISCAYNE BLVD STE 200
Aventura, FL 33180
(954) 265-3015
✔ PECOS✔ Accepts Medicare11 mi
Certified Nurse Midwife (CNM)
NPI 1790122174
3621 1/2 S DIXIE HWY
West Palm Beach, FL 33405
(561) 705-1022
✔ PECOS✔ Accepts Medicare49 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 2

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 10D2282760

Memorial Division Of Maternal Fetal Medicine · Pembroke Pines, FL
Active · expires May 24, 2027
CLIA Number10D2282760
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorTerri Ann Bennett
Laboratory Phone(954) 265-3015
Laboratory LocationMemorial Division Of Maternal Fetal Medicine601 N Flamingo Road, Ste 408, Pembroke Pines, FL 33028
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2278418

Memorial Division Of Maternal Fetal Medicine · Aventura, FL
Active · expires Mar 16, 2027
CLIA Number10D2278418
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorTerri Ann Bennett
Laboratory Phone(954) 265-3015
Laboratory LocationMemorial Division Of Maternal Fetal Medicine20801 Biscayne Blvd - Ste 200, Aventura, FL 33180
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 South Broward Hospital District's NPI number?

The NPI number for South Broward Hospital District is 1831810977. It was assigned to this organization in the NPPES registry on September 7, 2022. The provider is doing business as Memorial Division Of Maternal Fetal Medicine.

Where is South Broward Hospital District located?

South Broward Hospital District is located at 601 N Flamingo Rd Ste 408, Pembroke Pines, FL 33028. The listed phone number is (954) 265-3015.

What is South Broward Hospital District's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

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), 8 clinicians in 4 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 Obstetrics/Gynecology (5), Certified Nurse Midwife (CNM) (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Broward Hospital District hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does South Broward Hospital District accept?

Health plans from 22 Health, AmeriHealth Caritas Next, AvMed and Molina Healthcare 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 July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.