Individual provider Active NPI

Seth Portnoy, D.O.

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1225176209
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7518 Issued in FL
Practice address
9035 Pines Blvd
Pembroke Pines, FL 33024-6440
Phone
(954) 378-0333
NPI assigned
Feb 2, 2007
Last updated
Apr 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7518 FL Primary
General Practice Physician 208D00000X OS7518 FL

Addresses

Primary practice location

9035 Pines Blvd
Pembroke Pines, FL 33024-6440

Mailing address

9035 Pines Blvd
Pembroke Pines, FL 33024-6440
Phone (954) 378-0333

Other identifiers 1

IdentifierTypeStateIssuer
OS7518OtherFLLICENSE

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
I20050812000664 FL Practitioner - Family Practice 9931139664 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Relymd Virtual Health Regional PCGroup PAC ID 1052828878, 10 clinicians
Relymd Virtual Health Ga LLCGroup PAC ID 2466997945, 14 clinicians
Relymd Virtual Health Ca PCGroup PAC ID 3971094590, 6 clinicians
Fast Care LLCGroup PAC ID 9638149537, 6 clinicians

Practice addresses (Care Compare)

12020 Lake Trail LN
Parkland, FL 33076-2994
Phone (954) 610-9075

20601 E Dixie Hwy
Suite 340
Aventura, FL 33180-1542
Phone (786) 923-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7518FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relymd Virtual Health Regional, PC Family Medicine CurrentSince Jun 22, 2025 Accepting new patients
Relymd Virtual Health Ca, PC Family Medicine CurrentSince Oct 4, 2025 Accepting new patients
Relymd Virtual Health Ga, LLC Family Medicine CurrentSince Oct 15, 2024 Accepting new patients
Relymd Virtual Health TX, PA Family Medicine CurrentSince Nov 19, 2025 Accepting new patients
Fastcare LLC CurrentSince Dec 13, 2023 Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
Martin Memorial Physician Corporation Inc General Practice PastSince Apr 1, 2004 Accepting new patients

Locations

20601 E Dixie Hwy
Ste 340
Aventura, FL 33180
Phone (305) 931-0504

Organizations & group practices 7

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1225176209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246440",
            "telephone_number": "954-378-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246440",
            "telephone_number": "954-378-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTNOY",
        "first_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-04-07",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7518",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS7518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS7518",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.