NPIMap

Individual provider Active NPI

Jennifer Pollak, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Hollywood, FL
National Provider Identifier
1134328495
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME77220 Issued in FL
Practice address
4340 Sheridan St
Suite 201
Hollywood, FL 33021-3567
Phone
(954) 989-9998
Fax
(954) 989-9979
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME77220 FL Primary

Addresses

Primary practice location

4340 Sheridan St
Suite 201
Hollywood, FL 33021-3567

Mailing address

4340 Sheridan St
Suite 201
Hollywood, FL 33021-3567
Phone (954) 989-9998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040910000095 FL Practitioner - Obstetrics/Gynecology 3173599123 Reassigns benefits to 1 organization
I20251229003657 CO Practitioner - Obstetrics/Gynecology 3173599123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Surgical Affiliates LLCGroup PAC ID 5496034068, 52 clinicians
Jennifer Pollak MD PAGroup PAC ID 4183690134, 4 clinicians

Practice addresses (Care Compare)

2373 G Rd
Suite 200
Grand Junction, CO 81505-1006
Phone (970) 243-3061

4340 Sheridan St
Suite 201
Hollywood, FL 33021-3567

4340 Sheridan St
Suite 201
Hollywood, FL 33021-3568
Phone (954) 989-9998

Hospital & facility affiliations

  • Community Hospital Hospital, Grand Junction, CO, CCN 060054
  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Surgical Affiliates, LLC CurrentSince Dec 17, 2025 Accepting new patients
Florida Center for Urogynecology Urogynecology and Reconstructive Pelvic Surgery CurrentSince May 1, 2004 Accepting new patients
Colorado Surgical Affiliates, LLC CurrentSince Dec 17, 2025 Accepting new patients

Locations

2440 N 11th St
Grand Junction, CO 81501
Phone (970) 243-0900

2373 G Rd
Ste 200
Grand Junction, CO 81505
Phone (970) 241-4444

4340 Sheridan St
Ste 201
Hollywood, FL 33021
Phone (954) 989-9998

Organizations & group practices 3

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 8

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1134328495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST",
            "address_2": "SUITE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213567",
            "telephone_number": "954-989-9998",
            "fax_number": "954-989-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST",
            "address_2": "SUITE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213567",
            "telephone_number": "954-989-9998",
            "fax_number": "954-989-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME77220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.