Individual provider Active NPI

Pedro L Acosta, PA-C

  • Surgical Physician Assistant
  • Hallandale Beach, FL
National Provider Identifier
1114278538
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1001 N Federal Hwy
Suite 355
Hallandale Beach, FL 33009-2400
Phone
(800) 488-0279
Fax
(866) 902-8817
NPI assigned
Sep 25, 2012
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

1001 N Federal Hwy
Suite 355
Hallandale Beach, FL 33009-2400

Mailing address

1001 N Federal Hwy
Suite 355
Hallandale Beach, FL 33009-2400
Phone (800) 488-0279

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130619000062 FL Practitioner - Physician Assistant 5294974440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000

3100 Weston Rd
Weston, FL 33331-3602
Phone (954) 659-5000

525 Okeechobee Blvd
West Palm Beach, FL 33401-6349
Phone (561) 804-0200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Jan 17, 2015 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Physician Extenders Services, Inc. Surgical Past Accepting new patients
Prohealth Select, Inc. Surgical PastSince Dec 17, 2020 Accepting new patients
Physician Extenders Services Naples, Inc. Past Accepting new patients

Locations

2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000

Interoperability endpoints

  • Direct secure messaging: pacosta267045@direct.ccf.org

Organizations & group practices 5

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 2

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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1114278538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "SUITE 355",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "800-488-0279",
            "fax_number": "866-902-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N FEDERAL HWY",
            "address_2": "SUITE 355",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092400",
            "telephone_number": "800-488-0279",
            "fax_number": "866-902-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "PEDRO",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.