Organization Active NPI

Casa Medical Group LLC

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1275201972
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CASA MEDICAL GROUP LLC
Practice address
4601 Sheridan St Ste 301
Hollywood, FL 33021-3433
Phone
(786) 556-8723
NPI assigned
Aug 30, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Naranbaatar Erkhembaatar, ARNPNPI 1366919458
Title
Owner
Phone
(786) 556-8723

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

4601 Sheridan St Ste 301
Hollywood, FL 33021-3433

Mailing address

4601 Sheridan St Ste 301
Hollywood, FL 33021-3433

National Provider Directory

National Provider Directory

Locations

4601 Sheridan St
Ste 301
Hollywood, FL 33021
Phone (786) 556-8723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1275201972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SHERIDAN ST STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SHERIDAN ST STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213433",
            "telephone_number": "786-556-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "ERKHEMBAATAR",
        "authorized_official_first_name": "NARANBAATAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-556-8723",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.