Individual provider Active NPI

Jennifer L Fichera Macaluso, DO

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1114016052
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS9786 Issued in FL
Practice address
700 N Hiatus Rd
Suite 105
Pembroke Pines, FL 33026
Phone
(954) 433-4744
Fax
(954) 433-4635
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS9786 FL Primary

Addresses

Primary practice location

700 N Hiatus Rd
Suite 105
Pembroke Pines, FL 33026

Mailing address

3241 Executive Way
Miramar, FL 33025-3931
Phone (954) 985-6500

Other identifiers 1

IdentifierTypeStateIssuer
278488200MedicaidFL

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
I20070910000955 FL Practitioner - Family Practice 7315030194

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

700 N Hiatus Rd
Suite 105
Pembroke Pines, FL 33026-5206

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC CurrentSince Oct 10, 2020 Accepting new patients

Locations

3061 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 491-0031

12977 Southern Blvd
Ste 202
Loxahatchee, FL 33470
Phone (561) 204-3620

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

700 N Hiatus Rd
Ste 105
Pembroke Pines, FL 33026
Phone (954) 433-4744

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

601 N Flamingo Rd
Ste 107
Pembroke Pnes, FL 33028
Phone (954) 374-7545

Interoperability endpoints

  • Direct secure messaging: jennifer.ficheramacaluso@chealth.eclinicaldirectplus.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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1114016052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 EXECUTIVE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253931",
            "telephone_number": "954-985-6500",
            "fax_number": "954-967-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HIATUS RD",
            "address_2": "SUITE 105",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-433-4744",
            "fax_number": "954-433-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICHERA MACALUSO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278488200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.