Individual provider Active NPI

Irene Marie Hotalen, MD

  • Diagnostic Radiology Physician
  • Pembroke Pines, FL
National Provider Identifier
1447546643
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME131817 Issued in FL
Practice address
9050 Pines Blvds.
Suite 200
Pembroke Pines, FL 33024-6456
Phone
(954) 437-4800
Fax
(954) 437-6628
NPI assigned
Jun 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036141026 IL
Diagnostic Radiology Physician 2085R0202X ME131817 FL Primary

Addresses

Primary practice location

9050 Pines Blvds.
Suite 200
Pembroke Pines, FL 33024-6456

Mailing address

9050 Pines Blvds.
Suite 200
Pembroke Pines, FL 33024-6456
Phone (954) 437-4800

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
I20170808002549 FL Practitioner - Diagnostic Radiology 2860773496 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Practice addresses (Care Compare)

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

730 Goodlette Rd
Suite 101
Naples, FL 34102-5617
Phone (239) 307-0234

Hospital & facility affiliations

  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intellirad Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Aug 1, 2021 Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Radiology Associates of Hollywood, Inc. Diagnostic Radiology Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

11760 SW 40th St
Ste 703
Miami, FL 33175

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

Organizations & group practices 6

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 6

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": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447546643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVDS.",
            "address_2": "SUITE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246456",
            "telephone_number": "954-437-4800",
            "fax_number": "954-437-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVDS.",
            "address_2": "SUITE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246456",
            "telephone_number": "954-437-4800",
            "fax_number": "954-437-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTALEN",
        "first_name": "IRENE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036141026",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME131817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.