Organization Active NPI

Cleveland Vascular Care LLC

  • Nephrology Physician
  • Pompano Beach, FL
National Provider Identifier
1023838505
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CLEVELAND VASCULAR CARE LLC
Practice address
2283 SW 2ND St
Pompano Beach, FL 33069-3101
Phone
(305) 335-6444
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Hany Anton, MDNPI 1164402657
Title
Owner
Phone
(305) 335-6444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

2283 SW 2ND St
Pompano Beach, FL 33069-3101

Mailing address

2283 SW 2ND St
Pompano Beach, FL 33069-3101
Phone (305) 335-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241025000961 FL Part B Supplier - Clinic/Group Practice 5597298844 Receives reassigned benefits from 1 practitioner
Practice locations: Pompano Beach, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2319445Cleveland Vascular Care Dba2283 SW 2ND Street, Pompano Beach, FL 33069Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

2283 SW 2nd St
Pompano Beach, FL 33069
Phone (305) 335-6444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1023838505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 SW 2ND ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693101",
            "telephone_number": "305-335-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 SW 2ND ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693101",
            "telephone_number": "305-335-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND VASCULAR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "ANTON",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-335-6444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.