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WEST BROWARD INTERNAL MEDICINE LLC
NPI 1871765727
Internal Medicine in Tamarac, FL

Active since April 01, 2008
6451 W COMMERCIAL BLVD, TAMARAC, FL 33319(954) 720-1414(954) 720-4727 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2026, Nov 11, 2021, Sep 9, 2020 (3 updates tracked since 2020).

About West Broward Internal Medicine Llc NPPES

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

WEST BROWARD INTERNAL MEDICINE LLC (NPI 1871765727) is a healthcare organization registered as an internal medicine in Tamarac, Florida and active in the NPI registry since April 2008. The organization lists Shahrad Mabourakh, Physician, as its authorized official.

NPPES Registry Identity

NPI1871765727
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWEST BROWARD INTERNAL MEDICINE LLC
Location Address6451 W COMMERCIAL BLVDTamarac, FL 33319-2110
Mailing Address6451 W Commercial BlvdTamarac, FL 33319-2110 · (954) 720-1414 · Fax (954) 720-4727
Phone(954) 720-1414
Fax(954) 720-4727
Organization SubpartNo
Authorized OfficialShahrad MabourakhPhysician · (954) 720-1414
Enumeration DateApril 1, 2008
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1871765727 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 · ME67283
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.
6451 W COMMERCIAL BLVD, Tamarac, FL 33319
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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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

West Broward Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to West Broward Internal Medicine LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Patricia Perez, ARNP
Nurse Practitioner
NPI 1033185616
6463 W COMMERCIAL BLVD
Tamarac, FL 33319
(954) 720-1414
✔ PECOS✔ Accepts Medicare0.1 mi
Shahrad Mabourakh, MD
Internal Medicine
NPI 1053388090
6451 W COMMERCIAL BLVD
Tamarac, FL 33319
(954) 720-1414
✔ PECOS✔ Accepts Medicare0.1 mi
Davita Mabourakh, MD
Geriatric Medicine
NPI 1639675937
6455 W COMMERCIAL BLVD
Tamarac, FL 33319
(549) 720-1414
✔ PECOS✔ Accepts Medicare0.1 mi
Matthew Wolland, NP-C
Nurse Practitioner
NPI 1699177717
1440 NW 110TH AVE. APT. #399
Plantation, FL 33322
(813) 841-7058
✔ PECOS✔ Accepts Medicare5.0 mi
Gudelia Torres, APRN
Nurse Practitioner
NPI 1962827287
1521 NW 54TH ST
Miami, FL 33142
(786) 594-0000
✔ PECOS✔ Accepts Medicare25 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 West Broward Internal Medicine LLC's NPI number?

The NPI number for West Broward Internal Medicine LLC is 1871765727. It was assigned to this organization in the NPPES registry on April 1, 2008.

Where is West Broward Internal Medicine LLC located?

West Broward Internal Medicine LLC is located at 6451 W Commercial Blvd, Tamarac, FL 33319. The listed phone number is (954) 720-1414.

What is West Broward Internal Medicine LLC's specialty?

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

Is West Broward Internal Medicine LLC enrolled in Medicare?

Yes. West Broward Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Broward Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to West Broward Internal Medicine LLC. 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 Nurse Practitioner (3), Geriatric Medicine (1) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does West Broward Internal Medicine LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list West Broward Internal Medicine LLC 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 West Broward Internal Medicine LLC was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.