Individual provider Active NPI

Mammen P Zachariah, MD

  • Interventional Cardiology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1154300150
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME41759 Issued in FL
Practice address
1841 NE 45TH St
Fort Lauderdale, FL 33308-5117
Phone
(954) 820-4200
Fax
(954) 678-9533
NPI assigned
Jan 10, 2006
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME41759 FL Primary

Addresses

Primary practice location

1841 NE 45TH St
Fort Lauderdale, FL 33308-5117

Mailing address

1841 NE 45TH St
Fort Lauderdale, FL 33308-5117
Phone (954) 820-4200

Other identifiers 1

IdentifierTypeStateIssuer
277300700MedicaidFL

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
I20101130000290 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3870789001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Heart Rhythm Specialists PLLCGroup PAC ID 6507903523, 9 clinicians

Practice addresses (Care Compare)

1841 NE 45TH St
Fort Lauderdale, FL 33308-5117
Phone (954) 678-9531

2825 N State Rd
7 Suite 303
Fort Lauderdale, FL 33308-5117
Phone (954) 678-9531

4101 NW 4TH St
Suite 104
Plantation, FL 33317-2839
Phone (954) 678-9531

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Heart Rhythm Specialists PLLC Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Major Hospital Past Accepting new patients
David N Kenigsberg MD PA Cardiovascular Disease Past Accepting new patients

Locations

2307 W Broward Blvd
Ste 102
Fort Lauderdale, FL 33312
Phone (954) 820-4200

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1841 NE 45th St
Ft Lauderdale, FL 33308
Phone (954) 820-4200

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

2825 N State Road 7
Ste 303
Margate, FL 33063
Phone (954) 820-4200

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

350 NW 84th Ave
Ste 110
Plantation, FL 33324
Phone (954) 820-4200

4101 NW 4th St
Ste 104
Plantation, FL 33317
Phone (954) 587-3805

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18048/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mammen.zachariah.1@18048.direct.athenahealth.com

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

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1154300150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 NE 45TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085117",
            "telephone_number": "954-820-4200",
            "fax_number": "954-678-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 NE 45TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085117",
            "telephone_number": "954-820-4200",
            "fax_number": "954-678-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARIAH",
        "first_name": "MAMMEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME41759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277300700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.