Memorial Division of General Surgery – Surgery Physician, NPI 1669713673
Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Memorial Division of General Surgery
601 N. FLAMINGO ROAD
SUITE 211
PEMBROKE PINES, FL 330281018
Phone: (954) 447-4480
Fax: (954) 447-5344
Type: Mailing
601 N FLAMINGO RD
SUITE 211
PEMBROKE PINES, FL 330281015
Phone: (954) 447-4480
Fax: (954) 447-5344
Type: Location
601 N FLAMINGO RD STE 409
PEMBROKE PINES, FL 330281012
Phone: (954) 844-4480
Fax: (954) 447-5344
Type: Location
601 N Flamingo Rd Ste 411
Pembroke Pines, FL 330281012
Phone: (305) 682-2580
Fax: (305) 705-1677
Type: Location
20801 Biscayne Blvd Ste 203
Aventura, FL 331801492
Phone: (954) 844-4480
Type: Location
8649 NW 186th St
Hialeah, FL 330152553
Phone: (954) 276-1400
Fax: (954) 322-8115
Type: Location
20803 Biscayne Blvd Ste 204
Aventura, FL 331801429
Phone: (954) 844-4480
Fax: (954) 447-5344
Type: Location
12235 Pines Blvd
Pembroke Pines, FL 330264119
Phone: (954) 265-9520
Fax: (954) 265-9546
Type: Location
900 Glades Rd Ste 500
Boca Raton, FL 334316421
Phone: (954) 265-0000
Fax: (954) 893-6347
Type: Location
1150 N 35th Ave Ste 670
Hollywood, FL 330215435
Phone: (954) 265-9520
Fax: (954) 265-9546
Type: Location
1951 SW 172nd Ave Ste 204
Miramar, FL 330295613
Phone: (954) 538-5470
Fax: (954) 538-5477
Type: Location
601 N Flamingo Rd Ste 301
Pembroke Pines, FL 330281010
Phone: (954) 844-9520
Fax: (954) 844-9525
Type: Location
17180 Royal Palm Blvd Ste 1
Weston, FL 333262394
Phone: (954) 844-1617
Fax: (954) 450-8584
Type: Location
601 N Flamingo Rd Ste 401
Pembroke Pines, FL 330281011
Phone: (305) 682-2580
Fax: (305) 705-1677
Type: Location
4651 Sheridan St Ste 350
Hollywood, FL 330213425
Phone: (954) 276-8559
Fax: (954) 966-9762
Type: Location
2301 N University Dr Ste 103
Pembroke Pines, FL 330243617
Phone: (954) 276-1400
Fax: (954) 322-8115
Type: Location
2900 CORPORATE WAY
DOOR D
MIRAMAR, FL 330253925
Phone: (954) 276-5685
Fax: (954) 985-7074
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (343 days ago).
Enrollment records
1
Earliest due date
2025-06-30
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 |
|---|---|---|---|---|
| O20130618000353 | O | Clinic/Group Practice | FL | 2025-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 33028)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.