Individual provider Active NPI

Roy Whittingham, MD

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1245277011
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME70512 Issued in FL
Practice address
10071 Pines Blvd BLDG B
Suite a
Pembroke Pines, FL 33024
Phone
(954) 963-6500
Fax
(954) 963-6233
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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 ME70512 FL Primary

Addresses

Primary practice location

10071 Pines Blvd BLDG B
Suite a
Pembroke Pines, FL 33024

Mailing address

10071 Pines Blvd BLDG B
Suite a
Pembroke Pines, FL 33024
Phone (954) 589-1611

Other identifiers 1

IdentifierTypeStateIssuer
256594300MedicaidFL

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
I20050524000758 FL Practitioner - Cardiovascular Disease (Cardiology) 2769424340 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miramar Ekg ReadersGroup PAC ID 4183641947, 20 clinicians
Hollywood Medical Center Ekg Associates PAGroup PAC ID 8628052891, 29 clinicians
Ekg Associates IncGroup PAC ID 8527956549, 36 clinicians
Cardiology and Neurology Associates IncGroup PAC ID 1759364003, 25 clinicians

Practice addresses (Care Compare)

10071 Pines Blvd a
Pembroke Pines, FL 33024-6182
Phone (954) 589-1611

1901 SW 172ND Ave
Ekg Readers Panel
Miramar, FL 33029-5592
Phone (954) 538-5000

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

703 N Flamingo Rd
Ekg Readers Panel
Pembroke Pines, FL 33028-1006
Phone (954) 726-1808

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology & Neurology Associates Inc Cardiovascular Disease CurrentSince Oct 1, 2000 Accepting new patients
Pines Cardiology Inc CurrentSince Aug 1, 2012 Accepting new patients
Miramar Ekg Readers Cardiovascular Disease CurrentSince Apr 4, 2005 Accepting new patients
Ekg Associates Inc Cardiovascular Disease CurrentSince Feb 24, 2010 Accepting new patients
Hollywood Medical Center Ekg Associates PA Cardiovascular Disease CurrentSince Jun 18, 2011 Accepting new patients
Memorial Ekg Associates PA Cardiovascular Disease CurrentSince Oct 29, 2004 Accepting new patients
Robert B Contrucci D O P a Past Accepting new patients

Locations

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

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

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

2301 N University Dr
Ste 108
Pembroke Pines, FL 33024
Phone (954) 271-7180

2301 N University Dr
Ste 112
Pembroke Pines, FL 33024
Phone (954) 404-6610

10071 Pines Blvd
Ste A
Pembroke Pines, FL 33024
Phone (954) 442-0025

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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBICA/Endpoint/JIBICA

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 and National Provider Directory roles.

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1245277011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10071 PINES BLVD BLDG B",
            "address_2": "SUITE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-589-1611",
            "fax_number": "954-589-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10071 PINES BLVD BLDG B",
            "address_2": "SUITE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-963-6500",
            "fax_number": "954-963-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGHAM",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME70512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256594300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.