EDISON JOSE CANO CEVALLOS M.D.
NPI 1982080339
Internal Medicine - Infectious Disease in Hollywood, FL

Q: What is Edison Cano Cevallos's NPI number?

The NPI number for Edison Cano Cevallos is 1982080339. It was assigned to this individual provider in the NPPES registry on August 8, 2015.

Q: What is Edison Cano Cevallos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since August 08, 2015PECOS EnrolledAccepts Medicare Assignment

5647 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021(954) 276-1616(954) 276-0186 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2022, Sep 16, 2021, Aug 5, 2020 (3 updates tracked since 2020).

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About Edison Jose Cano Cevallos M.d. NPPES

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

EDISON JOSE CANO CEVALLOS M.D. (NPI 1982080339) is an individual infectious disease provider in Hollywood, Florida, licensed in Florida (ME151652) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and maintains a secondary practice location in Pembroke Pines.

NPPES Registry Identity

NPI1982080339

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameEDISON JOSE CANO CEVALLOSCredential: M.D.

Location Address5647 HOLLYWOOD BLVDHollywood, FL 33021-6325

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074

Phone(954) 276-1616

Fax(954) 276-0186

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 8, 2015

Last NPPES UpdateMarch 9, 20223 updates tracked since enumeration

NPPES CertifiedMarch 9, 2022

✔ NPI 1982080339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in FL · ME151652✔ Licensed in MN · 63792

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME151652 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5647 HOLLYWOOD BLVD, Hollywood, FL 33021

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Secondary Practice Location 1

Location 1601 N Flamingo Rd Ste 302Pembroke Pines, FL 33028-1010 · Phone (954) 276-1616 · Fax (954) 276-0186

Other Identifiers 1

Medicaid111150900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edison Jose Cano Cevallos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032465976

PECOS Enrollment IDI20210809002762

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edison Cano Cevallos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Broward Hospital District

Same address

Infectious Disease

5647 HOLLYWOOD BLVD
Hollywood, FL 33021

Reassigned Medicare billing, Florida enrollment
17 clinicians in this Medicare group

NPI 1356712277 (954) 276-1616

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

286 services69 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

86 services60 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

35 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100281

Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREEN A BICZAK DO

Internal Medicine (Infectious Disease)