PRIMARY CARE SPECIALIST OF SOUTH FLORIDA PA
NPI 1962995845
Internal Medicine in Lauderdale Lakes, FL
About Primary Care Specialist Of South Florida Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY CARE SPECIALIST OF SOUTH FLORIDA PA (NPI 1962995845) is a healthcare organization registered as an internal medicine in Lauderdale Lakes, Florida and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Aventura and lists Jarynet Beltran, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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)
Primary Care Specialist Of South Florida Pa 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 Primary Care Specialist Of South Florida PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2192876
Primary Care Specialist Of South Florida · Lauderdale Lakes, FLFrequently 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 Primary Care Specialist Of South Florida PA's NPI number?
The NPI number for Primary Care Specialist Of South Florida PA is 1962995845. It was assigned to this organization in the NPPES registry on June 14, 2018.
Where is Primary Care Specialist Of South Florida PA located?
Primary Care Specialist Of South Florida PA is located at 4850 W Oakland Park Blvd Ste 143, Lauderdale Lakes, FL 33313. The listed phone number is (786) 275-3725.
What is Primary Care Specialist Of South Florida PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Primary Care Specialist Of South Florida PA enrolled in Medicare?
Yes. Primary Care Specialist Of South Florida PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Specialist Of South Florida PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Primary Care Specialist Of South Florida PA. 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.
What insurance does Primary Care Specialist Of South Florida PA accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 24 other insurers list Primary Care Specialist Of South Florida PA 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 Primary Care Specialist Of South Florida PA was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Primary Care Specialist Of South Florida Pa · NPI 1962995845
Internal Medicine organization in Lauderdale Lakes, Florida. Organization record, active in the CMS NPPES registry since June 14, 2018.
## Identity
- **NPI:** 1962995845 (Entity type: Organization)
- **Enumerated:** June 14, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jarynet Beltran, OWNER
## Practice location
- **Address:** 4850 W OAKLAND PARK BLVD STE 143, Lauderdale Lakes, FL 33313-7277
- **Phone:** (786) 275-3725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962995845) · Data from the CMS NPPES public registry.