Individual provider Active NPI

Jeffrey S Dennis, MD

  • Cardiovascular Disease Physician
  • Pompano Beach, FL
National Provider Identifier
1225027055
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME35782 Issued in FL
Practice address
1 W Sample Rd
Ste 204
Pompano Beach, FL 33064-3547
Phone
(954) 785-0300
Fax
(954) 785-0229
NPI assigned
Oct 14, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 ME35782 FL Primary

Addresses

Primary practice location

1 W Sample Rd
Ste 204
Pompano Beach, FL 33064-3547

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 785-0300

Other identifiers 1

IdentifierTypeStateIssuer
047481900MedicaidFL

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
I20070403000155 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042114456 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Electrocardiogram Associates PA Cardiovascular Disease CurrentSince Aug 1, 2007 Accepting new patients
Altschuler & Dennis Cardiology Center LLC Cardiovascular Disease PastSince Feb 1, 2010 Accepting new patients
Greater Ft Lauderdale Heart Group Cardiovascular Disease Past Accepting new patients
North Broward Hospital District Past Accepting new patients

Locations

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

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225027055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-785-0300",
            "fax_number": "954-785-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD",
            "address_2": "STE 204",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-785-0300",
            "fax_number": "954-785-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-03-07",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME35782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047481900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.