Individual provider Active NPI

Jesus Carlos Fabregas Mercado, M.D.

  • Hematology (Internal Medicine) Physician
  • Hallandale Beach, FL
National Provider Identifier
1467681833
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
ME136687 Issued in FL
Practice address
1750 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4611
Phone
(954) 265-4325
Fax
(954) 276-0765
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME136687 FL Primary

Addresses

Primary practice location

1750 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4611

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-0278
Phone (954) 276-5685

Other practice location 1

1150 N 35th Ave Ste 330
Hollywood, FL 33021-5488
Phone (954) 265-4325

Other identifiers 1

IdentifierTypeStateIssuer
111579600MedicaidFL

Other names 1

  • Jesus Carlos Fabregas Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfabregas333688@MHSDIRECT.NET Direct

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
I20210902000697 FL Practitioner - Hematology/OncologyPractitioner - Medical Oncology 4789904053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35 Ave
Hollywood, FL 33021-5424

1150 N 35TH Ave
Suite 330
Hollywood, FL 33021-5488
Phone (954) 265-6363

12235 Pines Blvd
Pembroke Pines, FL 33026-4119
Phone (954) 265-4325

1750 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-4611
Phone (954) 265-4325

3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-9976

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Aug 26, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 26, 2021 Accepting new patients
South Broward Hospital District Current Accepting new patients
South Broward Hospital District CurrentSince Mar 20, 2023 Accepting new patients
South Broward Hospital District Hematology CurrentSince Mar 20, 2023 Accepting new patients
South Broward Hospital District Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

20950 NE 27th Ct
Ste 203
Aventura, FL 33180
Phone (305) 933-6545

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1750 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 276-9700

1150 N 35th Ave
Ste 170
Hollywood, FL 33021
Phone (954) 985-1500

1150 N 35th Ave
Ste 330
Hollywood, FL 33021
Phone (954) 961-1500

3700 Washington St
Ste 304
Hollywood, FL 33021
Phone (954) 820-5860

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

1500 SE 17th St
Ste 600
Ocala, FL 34471
Phone (352) 273-7770

13000 US Highway 1
Sebastian, FL 32958
Phone (772) 388-5251

Interoperability endpoints

  • Direct secure messaging: jfabregas333688@mhsdirect.net

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1467681833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330250278",
            "telephone_number": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E HALLANDALE BEACH BLVD",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094611",
            "telephone_number": "954-265-4325",
            "fax_number": "954-276-0765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N 35th Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215488",
            "country_code": "US",
            "telephone_number": "954-265-4325",
            "fax_number": "954-981-3872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABREGAS MERCADO",
        "first_name": "JESUS",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME136687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111579600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfabregas333688@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1750 E Hallandale Beach Blvd",
            "city": "Hallandale Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330094611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESUS",
            "last_name": "FABREGAS",
            "middle_name": "CARLOS",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.