Individual provider Active NPI

Jorge Konopka, M.D.

  • Family Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1316140262
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME103846 Issued in FL
Practice address
17913 NW 7TH St Ste 101
Pembroke Pines, FL 33029-2811
Phone
(954) 320-7999
Fax
(954) 320-7601
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 ME103846 FL Primary
Adult Medicine Physician 207QA0505X ME103846 FL

Addresses

Primary practice location

17913 NW 7TH St Ste 101
Pembroke Pines, FL 33029-2811

Mailing address

17913 NW 7TH St Ste 101
Pembroke Pines, FL 33029-2811
Phone (954) 320-7999

Other practice location 1

1951 SW 172nd Ave
Suite 312
Miramar, FL 33029
Phone (954) 320-7999

Other identifiers 1

IdentifierTypeStateIssuer
ME 103846OtherFLFL LICENSE

Other names 1

  • Dr. Jorge Luis Curbelo Konopka Other name

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
I20091030000596 FL Practitioner - Family Practice 7416094016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vivian Bilasano MD LLCGroup PAC ID 3779890900, 2 clinicians

Practice addresses (Care Compare)

17913 NW 7TH St
Suite 101
Pembroke Pines, FL 33029-2811
Phone (305) 502-5272

Hospital & facility affiliations

  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian Bilasano MD LLC CurrentSince Jul 13, 2015 Accepting new patients
QMC LLC CurrentSince May 19, 2019 Accepting new patients

Locations

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

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

1951 SW 172nd Ave
Ste 312
Miramar, FL 33029
Phone (954) 432-3224

17913 NW 7th St
Ste 101
Pembroke Pines, FL 33029
Phone (954) 320-7999

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

Organizations & group practices 2

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 1

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1316140262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave",
            "address_2": "Suite 312",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "33029",
            "country_code": "US",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONOPKA",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103846",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME103846",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME 103846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE LUIS",
            "last_name": "CURBELO KONOPKA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.