Individual provider Active NPI

Ethan Siev, MD

  • Cardiovascular Disease Physician
  • Hollywood, FL
National Provider Identifier
1154360485
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 55397 Issued in FL
Practice address
1150 N 35TH Ave
Suite 605
Hollywood, FL 33021
Phone
(954) 265-7900
Fax
(954) 276-0285
NPI assigned
Jun 5, 2006
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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 ME 55397 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave
Suite 605
Hollywood, FL 33021

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other identifiers 1

IdentifierTypeStateIssuer
039245600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esiev12546@MHSDIRECT.NET Direct

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
I20040615001498 FL Practitioner - Cardiovascular Disease (Cardiology) 3678557857 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians
Memorial Ekg Associates PAGroup PAC ID 9931183191, 32 clinicians
Hollywood Medical Center Ekg Associates PAGroup PAC ID 8628052891, 29 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Suite 605
Hollywood, FL 33021-5431
Phone (954) 265-7900

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 354-2600

3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 966-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 55397FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Jan 1, 2016 Accepting new patients
Memorial Ekg Associates PA Cardiovascular Disease CurrentSince Sep 1, 1983 Accepting new patients
Hollywood Medical Center Ekg Associates PA Cardiovascular Disease CurrentSince Dec 5, 1997 Accepting new patients
South Broward Hospital District Cardiovascular Disease Current Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2016 Accepting new patients
Cardiovascular Consultants of South Browardpllc Cardiovascular Disease CurrentSince Oct 9, 2014 Accepting new patients
Ekg Associates Inc Cardiovascular Disease CurrentSince Oct 1, 2004 Accepting new patients
Cardiology & Neurology Associates Inc Cardiovascular Disease CurrentSince May 6, 2010 Accepting new patients
Integrated Care LLC Cardiovascular Disease Past Accepting new patients
South Broward Hospital District Past Accepting new patients
Apex Emergency Group, Inc Past Accepting new patients

Locations

1150 N 35th Ave
Ste 240
Hollywood, FL 33021
Phone (954) 362-3426

1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

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

603 N Flamingo Rd
Ste 255
Pembroke Pines, FL 33028
Phone (954) 265-1125

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

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

Interoperability endpoints

  • Direct secure messaging: esiev12546@mhsdirect.net

Organizations & group practices 11

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1154360485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 605",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-265-7900",
            "fax_number": "954-276-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEV",
        "first_name": "ETHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 55397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039245600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esiev12546@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1150 N 35th Ave",
            "address_2": "Suite 605",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.