Individual provider Active NPI

Howard Mark Graubard, M.D.

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1144320821
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41669 Issued in FL
Practice address
603 N. Flamingo Road
Suite #365
Pembroke Pines, FL 33028-1005
Phone
(954) 435-6988
Fax
(954) 435-4466
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41669 FL Primary

Addresses

Primary practice location

603 N. Flamingo Road
Suite #365
Pembroke Pines, FL 33028-1005

Mailing address

603 N. Flamingo Road
Suite #365
Pembroke Pines, FL 33028-1005
Phone (954) 435-6988

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
I20100818000728 FL Practitioner - Family PracticePractitioner - General Practice 8820122427 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41669FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard M. Graubard, MD, PA CurrentSince Oct 18, 2009 Accepting new patients

Locations

12550 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 430-4030

603 N Flamingo Rd
Ste 365
Pembroke Pnes, FL 33028
Phone (954) 432-1771

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1144320821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N. FLAMINGO ROAD",
            "address_2": "SUITE #365",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281005",
            "telephone_number": "954-435-6988",
            "fax_number": "954-435-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N. FLAMINGO ROAD",
            "address_2": "SUITE #365",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281005",
            "telephone_number": "954-435-6988",
            "fax_number": "954-435-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUBARD",
        "first_name": "HOWARD",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "41669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.