NPIMap

Organization Active NPI

Coastal Rheumatology, LLC

Doing business as South Florida Rheumatology

  • Rheumatology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1073384228
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
COASTAL RHEUMATOLOGY, LLC
Doing business as
South Florida Rheumatology
Practice address
4331 N Federal Hwy Ste 301
Ft Lauderdale, FL 33308-5252
Phone
(954) 237-3000
Fax
(954) 837-9299
NPI assigned
Jan 15, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Nicole Beguiristain
Title
Director, Business Developement
Phone
(786) 394-3063

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

4331 N Federal Hwy Ste 301
Ft Lauderdale, FL 33308-5252

Mailing address

4700 Sheridan St Ste C
Hollywood, FL 33021-3416
Phone (954) 237-3000

Other practice location 1

9050 Pines Blvd Ste 110
Pembroke Pines, FL 33024-6461
Phone (954) 237-3000

Other practice location 2

4700 Sheridan St Ste C
Hollywood, FL 33021-3416
Phone (954) 361-1000

Other names 1

  • South Florida Rheumatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402003796 FL Part B Supplier - Clinic/Group Practice 1658719216 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Hollywood, FL; Ft Lauderdale, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Coastal Rheumatology LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1073384228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST STE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213416",
            "telephone_number": "954-237-3000",
            "fax_number": "954-837-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 N FEDERAL HWY STE 301",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085252",
            "telephone_number": "954-237-3000",
            "fax_number": "954-837-9299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9050 Pines Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246461",
            "country_code": "US",
            "telephone_number": "954-237-3000",
            "fax_number": "954-837-9299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Sheridan St Ste C",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213416",
            "country_code": "US",
            "telephone_number": "954-361-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL RHEUMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "BEGUIRISTAIN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS DEVELOPEMENT",
        "authorized_official_telephone_number": "786-394-3063"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Florida Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Florida Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.