NPIMap

Individual provider Active NPI

Pedro Mario Espino-Grosso, MD

  • Urology Physician
  • Coral Springs, FL
National Provider Identifier
1033615695
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME162900 Issued in FL
Practice address
5850 Coral Ridge Dr Ste 106
Coral Springs, FL 33076-3379
Phone
(954) 714-8200
Fax
(954) 840-2626
NPI assigned
Apr 3, 2018
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X ME162900 FL Primary

Addresses

Primary practice location

5850 Coral Ridge Dr Ste 106
Coral Springs, FL 33076-3379

Mailing address

5850 Coral Ridge Dr Ste 106
Coral Springs, FL 33076-3379
Phone (954) 714-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629000451 FL Practitioner - Urology 7214396977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Ponce School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael P. Zahalsky, MD PAGroup PAC ID 6800829482, 11 clinicians

Practice addresses (Care Compare)

5850 Coral Ridge Dr
Suite 106
Coral Springs, FL 33076-3379
Phone (954) 714-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P. Zahalsky, MD PA Urology CurrentSince Aug 1, 2023 Accepting new patients
Michael P. Zahalsky, MD PA Urology CurrentSince Aug 1, 2023 Accepting new patients
Michael P. Zahalsky, MD PA Urology PastSince May 19, 2024 Accepting new patients

Locations

9970 Central Park Blvd N
Ste 402
Boca Raton, FL 33428
Phone (954) 251-6051

5850 Coral Ridge Dr
Ste 106
Coral Springs, FL 33076
Phone (954) 714-8200

1801 W Sample Rd
Ste 202
Deerfield Beach, FL 33064
Phone (954) 714-8200

2951 NW 49th Ave
Ste 308
Lauderdale Lakes, FL 33313
Phone (954) 714-8200

990 N Federal Hwy
Pompano Beach, FL 33062
Phone (954) 714-8200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEHAAA/Endpoint/CEHAAA

Organizations & group practices 3

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

Hospital & facility affiliations 7

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1033615695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 CORAL RIDGE DR STE 106",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763379",
            "telephone_number": "954-714-8200",
            "fax_number": "954-840-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 CORAL RIDGE DR STE 106",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763379",
            "telephone_number": "954-714-8200",
            "fax_number": "954-840-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINO-GROSSO",
        "first_name": "PEDRO",
        "middle_name": "MARIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME162900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.