Individual provider Active NPI

Raiza Exantus, MD

  • Clinical Genetics (M.D.) Physician
  • Hollywood, FL
National Provider Identifier
1013412097
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
ME0150530 Issued in FL
Practice address
1131 N 35TH Ave FL 2
Hollywood, FL 33021-5403
Phone
(954) 265-6319
Fax
(954) 276-0166
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME0150530 FL
Clinical Genetics (M.D.) Physician 207SG0201X ME0150530 FL Primary

Addresses

Primary practice location

1131 N 35TH Ave FL 2
Hollywood, FL 33021-5403

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other practice location 1

4651 Sheridan St Ste 150
Hollywood, FL 33021-3443
Phone (954) 276-1550

Other practice location 2

1971 SW 172nd Ave Fl 2
Miramar, FL 33029-5592
Phone (954) 265-6319

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rexantus190932@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723003233 FL Practitioner - Medical Genetics and GenomicsPractitioner - Pediatric Medicine 7911253950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and GenomicsAlso: Pediatric Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1131 N 35TH Ave
Hollywood, FL 33021-5403

4651 Sheridan St
Suite 150
Hollywood, FL 33021-3443
Phone (954) 265-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0150530FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince May 15, 2025 Accepting new patients
South Broward Hospital District CurrentSince May 15, 2025 Accepting new patients
South Broward Hospital District PastSince Mar 3, 2024 Accepting new patients
South Broward Hospital District Pediatrics Past Accepting new patients

Locations

1131 N 35th Ave
Ste 230
Hollywood, FL 33021
Phone (954) 265-6319

1005 N 35th Ave
Hollywood, FL 33021
Phone (954) 265-5324

1971 SW 172nd Ave
Fl 2
Miramar, FL 33029
Phone (954) 265-6333

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1971 SW 172nd Ave
Ste 2500
Miramar, FL 33029
Phone (954) 265-6333

4651 Sheridan St
Ste 150
Pembroke Park, FL 33021
Phone (954) 265-6331

Interoperability endpoints

  • Direct secure messaging: rexantus190932@mhsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1013412097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N 35TH AVE FL 2",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215403",
            "telephone_number": "954-265-6319",
            "fax_number": "954-276-0166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4651 Sheridan St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213443",
            "country_code": "US",
            "telephone_number": "954-276-1550",
            "fax_number": "954-893-6244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1971 SW 172nd Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295592",
            "country_code": "US",
            "telephone_number": "954-265-6319",
            "fax_number": "954-276-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EXANTUS",
        "first_name": "RAIZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0150530",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "FL",
            "license": "ME0150530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rexantus190932@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "1131 N 35th Ave Fl 2",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.