Individual provider Active NPI

Lorena Lewy Alterbaum, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hollywood, FL
National Provider Identifier
1184789943
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME58680 Issued in FL
Practice address
9720 Stirling Rd
BLDG C, Ste 111
Hollywood, FL 33024-8013
Phone
(954) 967-0500
Fax
(954) 967-0778
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME58680 FL Primary

Addresses

Primary practice location

9720 Stirling Rd
BLDG C, Ste 111
Hollywood, FL 33024-8013

Mailing address

9720 Stirling Rd
BLDG C, Ste 111
Hollywood, FL 33024-8013
Phone (954) 967-0500

Other identifiers 2

IdentifierTypeStateIssuer
E61782OtherFLUNPIN
11344OtherFLBLUE CROSS

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
I20031219000535 FL Practitioner - EndocrinologyPractitioner - Internal Medicine 7810895562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9720 Stirling Rd
Hollywood, FL 33024-8013
Phone (954) 967-0500

Hospital & facility affiliations

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine Partners. PA. CurrentSince Jul 1, 2007 Accepting new patients
Lorena Lewy-Altebaum, MD Past Accepting new patients
Lorena Lewy Alterbaum MD Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

3700 Washington St
Ste 400
Hollywood, FL 33021
Phone (954) 967-0200

9720 Stirling Rd
Ste 111
Hollywood, FL 33024
Phone (954) 967-0500

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 3

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1184789943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 STIRLING RD",
            "address_2": "BLDG C, STE 111",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248013",
            "telephone_number": "954-967-0500",
            "fax_number": "954-967-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 STIRLING RD",
            "address_2": "BLDG C, STE 111",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248013",
            "telephone_number": "954-967-0500",
            "fax_number": "954-967-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWY ALTERBAUM",
        "first_name": "LORENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME58680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNPIN",
            "identifier": "E61782",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11344",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.