Memorial Division of Interventional Cardiology – Interventional Cardiology Physician, NPI 1487057519
Interventional Cardiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Memorial Division of Interventional Cardiology
20803 Biscayne Blvd Ste 204
Aventura, FL 331801429
Phone: (954) 265-7900
Fax: (954) 276-0266
Type: Location
603 N Flamingo Rd Ste 255
Pembroke Pines, FL 330281013
Phone: (954) 265-7900
Fax: (954) 844-0839
Type: Location
1150 N 35TH AVE STE 605
HOLLYWOOD, FL 330215431
Phone: (954) 265-7900
Fax: (954) 276-0271
Type: Location
2900 CORPORATE WAY
MPG DOOR D
MIRAMAR, FL 330253925
Phone: (954) 276-5581
Fax: (954) 985-7074
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20140319001324 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33180)
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