NPIMap

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
Last updated
May 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2015

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 ME91789 FL Primary

Addresses

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
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

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

Merit-based Incentive Payment System (MIPS)

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

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
QMC LLC Past Accepting new patients
Lincoln Park Rehabilitation Inc Internal Medicine Past Accepting new patients
Florida Neuropsychiatric Institute Inc Past Accepting new patients

Locations

2951 NW 49th Ave
Ste 201
Lauderdale Lakes, FL 33313
Phone (954) 486-5700

Interoperability endpoints

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

Ownership & related parties

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.