Individual provider Active NPI

Regina B Portnova, M.D.

  • Internal Medicine Physician
  • Lauderdale Lakes, FL
National Provider Identifier
1114908373
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91789 Issued in FL
Practice address
2951 NW 49TH Ave
Suite 201
Lauderdale Lakes, FL 33313-1608
Phone
(945) 486-5700
Fax
(954) 484-2574
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2951 NW 49TH Ave
Suite 201
Lauderdale Lakes, FL 33313-1608
Phone (954) 486-5700

3485 Nw30Th St
Lauderdale Lakes, FL 33311-1890
Phone (954) 739-1483

4201 Springtree Dr
Sunrise, FL 33351-6163
Phone (954) 572-4261

6855 Nw70Th Ave
Tamarac, FL 33321-5326
Phone (954) 722-0212

9701 W Oakland Park Blvd
Sunrise, FL 33351-7015
Phone (954) 572-4444

Hospital & facility affiliations

  • Compassionate Caring Home Care, Inc Home health agency, Hallandale, FL, CCN 109324
  • Health Care of South Florida Corp Home health agency, Pembroke Pines, FL, CCN 109552
  • USA Home Health Services Home health agency, Plantation, FL, CCN 107397
  • Med-Care Home Health Services Inc. Home health agency, Plantation, FL, CCN 107399
  • Ultra Health Care, Inc. Home health agency, Hollywood, FL, CCN 108388
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Continuum Care of Broward LLC Hospice, Sunrise, FL, CCN 101562
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • North Shore Medical Center Hospital, Miami, FL, CCN 100029
  • Nspire Healthcare Lauderhill Nursing home, Lauderhill, FL, CCN 105680
  • Regents Park of Sunrise Nursing home, Sunrise, FL, CCN 105679
  • Sunrise Health & Rehabilitation Center Nursing home, Sunrise, FL, CCN 105441
  • Nspire Healthcare Plantation Nursing home, Plantation, FL, CCN 105519

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
92.54
Promoting interoperability
99
Improvement activities
40

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
I20041208000754 FL Practitioner - Internal Medicine 4587620885 Reassigns benefits to 1 organization

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nspire Healthcare LauderhillLauderhill, FL, CCN 105680 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Sep 19, 2018
Sep 19, 2018
Nspire Healthcare PlantationPlantation, FL, CCN 105519 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2025
Jun 1, 2025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regina B Portnova MD Inc Internal Medicine CurrentSince Sep 30, 2011 Accepting new patients
Florida Neuropsychiatric Institute Inc Past Accepting new patients
QMC LLC Past Accepting new patients
Lincoln Park Rehabilitation Inc Internal Medicine Past Accepting new patients

Locations

2951 NW 49th Ave
Ste 201
Lauderdale Lakes, FL 33313
Phone (954) 484-0110

Interoperability endpoints

  • Direct secure messaging: regina.portnova.1@12248.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12248/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91789 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2951 NW 49TH Ave
Suite 201
Lauderdale Lakes, FL 33313-1608

Mailing address

2951 NW 49TH Ave
Suite 201
Lauderdale Lakes, FL 33313-1608
Phone (945) 486-5700

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
271339000MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2015.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1114908373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131608",
            "telephone_number": "945-486-5700",
            "fax_number": "954-484-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49TH AVE",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333131608",
            "telephone_number": "945-486-5700",
            "fax_number": "954-484-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOVA",
        "first_name": "REGINA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271339000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.