Active NPI
Nicola Petrovani, M.D.
- Emergency Medicine Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME70605
- Practice address
- 703 N Flamingo Rd
Pembroke Pines, FL 33028-1006 - Phone
- (954) 844-1000
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME70605 | FL | |
| Emergency Medicine Physician | 207P00000X | ME70605 | FL | Primary |
Addresses
Primary practice location
703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Mailing address
3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-3482
Other practice location 1
6302 E Martin Luther King Blvd
Suite 470
Tampa, FL 33619-1165
Phone (877) 239-0216
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npetrovani11913@MHSDIRECT.NET |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet South Broward LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
Interoperability endpoints
- npetrovani11913@mhsdirect.net
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1467409276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-265-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 N FLAMINGO RD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281006",
"telephone_number": "954-844-1000"
}
],
"practiceLocations": [
{
"address_1": "6302 E Martin Luther King Blvd",
"address_2": "SUITE 470",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336191165",
"country_code": "US",
"telephone_number": "877-239-0216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETROVANI",
"first_name": "NICOLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME70605",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME70605",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npetrovani11913@MHSDIRECT.NET",
"affiliation": "N",
"address_1": "3501 Johnson St",
"city": "Hollywood",
"state": "FL",
"country_code": "US",
"postal_code": "330215421",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.