Individual provider Active NPI

Aeyal Oren, DO

  • Surgery Physician
  • Plantation, FL
National Provider Identifier
1083699482
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS9015 Issued in FL
Practice address
201 NW 82ND Ave
Suite 301
Plantation, FL 33324-7808
Phone
(954) 424-2412
Fax
(954) 424-2482
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS9015 FL Primary

Addresses

Primary practice location

201 NW 82ND Ave
Suite 301
Plantation, FL 33324-7808

Mailing address

PO Box 816759
Hollywood, FL 33081-0759
Phone (954) 964-2450

Other identifiers 1

IdentifierTypeStateIssuer
274564000MedicaidFL

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
I20041116000190 FL Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5698739068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Practice addresses (Care Compare)

201 NW 82ND Ave
Suite 301
Plantation, FL 33324-1839
Phone (954) 424-2412

Hospital & facility affiliations

  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Surgical Specialists LLC Surgery CurrentSince Sep 1, 2015 Accepting new patients

Locations

201 NW 82nd Ave
Ste 301
Plantation, FL 33324
Phone (888) 362-9902

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Interoperability endpoints

  • Direct secure messaging: aoren@731.securemail.prognocis.com

Organizations & group practices 1

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 4

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1083699482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 816759",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330810759",
            "telephone_number": "954-964-2450",
            "fax_number": "954-964-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE",
            "address_2": "SUITE 301",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247808",
            "telephone_number": "954-424-2412",
            "fax_number": "954-424-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREN",
        "first_name": "AEYAL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS9015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274564000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.