Individual provider Active NPI

Lawrence Michael Reiss, MD

  • Cardiovascular Disease Physician
  • Hollywood, FL
National Provider Identifier
1023061249
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 43494 Issued in FL
Practice address
1150 N 35TH Ave
Suite 605
Hollywood, FL 33021
Phone
(954) 265-7900
Fax
(954) 276-0264
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 43494 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave
Suite 605
Hollywood, FL 33021

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
044441300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lreiss12540@MHSDIRECT.NET Direct

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
I20041228000558 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870551542 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York Downstate Medical Center, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians
Memorial Ekg Associates PAGroup PAC ID 9931183191, 32 clinicians
Hollywood Medical Center Ekg Associates PAGroup PAC ID 8628052891, 29 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Hollywood, FL 33021-5431
Phone (954) 265-7900

20803 Biscayne Blvd
Suite 204
Aventura, FL 33180-1429
Phone (954) 265-7900

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 354-2600

3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 966-4500

601 N Flamingo Rd
Suite 316
Pembroke Pines, FL 33028-1015
Phone (954) 265-3015

603 N Flamingo Rd
Pembroke Pines, FL 33028-1013
Phone (954) 265-7900

801 N Flamingo Rd
Pembroke Pines, FL 33028-1019
Phone (954) 265-7900

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 43494FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ekg Associates Inc Cardiovascular Disease CurrentSince May 28, 1996 Accepting new patients
Cardiology & Neurology Associates Inc Cardiovascular Disease CurrentSince Jun 27, 2010 Accepting new patients
Hollywood Medical Center Ekg Associates PA Cardiovascular Disease CurrentSince Jun 1, 2009 Accepting new patients
South Broward Hospital District Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2015 Accepting new patients
Memorial Ekg Associates PA Cardiovascular Disease CurrentSince Sep 30, 2018 Accepting new patients
Integrated Care LLC Cardiovascular Disease Past Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

20803 Biscayne Blvd
Ste 204
Aventura, FL 33180
Phone (954) 844-4480

1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

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

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

603 N Flamingo Rd
Ste 255
Pembroke Pines, FL 33028
Phone (954) 265-1125

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

Interoperability endpoints

  • Direct secure messaging: lreiss12540@mhsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1023061249",
    "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": "1150 N 35TH AVE",
            "address_2": "SUITE 605",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-265-7900",
            "fax_number": "954-276-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "LAWRENCE",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 43494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044441300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreiss12540@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 N 35th Ave",
            "address_2": "Suite 605",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.