Individual provider Active NPI

Fulvia Carmen Banu, M.D.

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1073908752
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME134115 Issued in FL
Practice address
2 S University Dr Ste 330
Plantation, FL 33324-3307
Phone
(954) 820-9443
Fax
(954) 456-9626
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME134115 FL Primary

Addresses

Primary practice location

2 S University Dr Ste 330
Plantation, FL 33324-3307

Mailing address

2 S University Dr Ste 330
Plantation, FL 33324-3307
Phone (954) 820-9443

Other names 1

  • Dr. Fulvia Carmen Stefanescu Former name

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
I20190118001125 FL Practitioner - Internal Medicine 6103162771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

2 S University Dr
Plantation, FL 33324-3307
Phone (954) 820-9443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc Single Specialty CurrentSince Dec 16, 2023 Accepting new patients
Banu Medical Practice PA Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
Jcarriazo MD P.L.L.C. Single Specialty PastSince Aug 18, 2024 Accepting new patients

Locations

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

2 S University Dr
Ste 330
Plantation, FL 33324
Phone (954) 237-8700

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1073908752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S UNIVERSITY DR STE 330",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243307",
            "telephone_number": "954-820-9443",
            "fax_number": "954-967-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S UNIVERSITY DR STE 330",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243307",
            "telephone_number": "954-820-9443",
            "fax_number": "954-456-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANU",
        "first_name": "FULVIA",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME134115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FULVIA",
            "last_name": "STEFANESCU",
            "middle_name": "CARMEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.