Individual provider Active NPI

Kayvan Amini, D.O.

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1124243563
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS9500 Issued in FL
Practice address
601 N Flamingo Rd
Suite 403
Pembroke Pines, FL 33028-1015
Phone
(954) 499-9515
Fax
(954) 499-7877
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS9500 FL Primary

Addresses

Primary practice location

601 N Flamingo Rd
Suite 403
Pembroke Pines, FL 33028-1015

Mailing address

601 N Flamingo Rd
Suite 403
Pembroke Pines, FL 33028-1015
Phone (954) 499-9515

Other identifiers 2

IdentifierTypeStateIssuer
P00901578OtherFLMEDICARE RAIL ROAD
279226500MedicaidFL

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
I20070822000720 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0143312116 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation for Sickle Cell Disease Research 8 clinicians
Miramar Ekg Readers 20 clinicians
Ekg Associates Inc 36 clinicians
Cardiology and Neurology Associates Inc 25 clinicians

Practice addresses (Care Compare)

1685 S State Rd
7 Unit 4
Hollywood, FL 33084-9998
Phone (954) 397-3251

1901 SW 172ND Ave
Ekg Readers Panel
Miramar, FL 33029-5592
Phone (954) 538-5000

601 N Flamingo Rd
Suite 407
Pembroke Pines, FL 33028-1011
Phone (954) 499-9515

703 N Flamingo Rd
Ekg Readers Panel
Pembroke Pines, FL 33028-1006
Phone (954) 726-1808

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650

Hospital & facility affiliations

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

National Provider Directory

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

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
South Florida Cardiology Consultants PA Cardiovascular Disease CurrentSince Apr 30, 2003 Accepting new patients
Foundation for Sickle Cell Disease Research CurrentSince Jan 14, 2026 Accepting new patients

Locations

1685 S State Road 7
Ste 4
Hollywood, FL 33023
Phone (954) 459-4600

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

601 N Flamingo Rd
Ste 407
Pembroke Pnes, FL 33028
Phone (954) 433-5666

601 N Flamingo Rd
Ste 403
Pembroke Pnes, FL 33028
Phone (954) 430-3999

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFIACA/Endpoint/JFIACA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEDDD

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 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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1124243563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 403",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-499-9515",
            "fax_number": "954-499-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 403",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-499-9515",
            "fax_number": "954-499-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "KAYVAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS9500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00901578",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279226500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.