Active NPI
Marea Kefalas
- Family Nurse Practitioner
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9295476
- Practice address
- 3501 Johnson St
MRH Total Heart Center
Hollywood, FL 33021-5421 - Phone
- (954) 265-7750
- NPI assigned
- Apr 28, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9295476 | FL | Primary |
Addresses
Primary practice location
3501 Johnson St
MRH Total Heart Center
Hollywood, FL 33021-5421
Mailing address
2900 Corporate Way
Door D
Hollywood, FL 33021-3925
Phone (954) 276-5685
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Broward Hospital District
Practice addresses (Care Compare)
3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 265-7750
Hospital & facility affiliations
- Memorial Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients |
Locations
3501 Johnson St
Fl 1
Hollywood, FL 33021
Phone (954) 265-7750
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
4651 Sheridan St
Ste 150
Pembroke Park, FL 33021
Phone (954) 265-6331
801 N Flamingo Rd
Pembroke Pines, FL 33028
Phone (954) 844-6868
Organizations & group practices 5
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.
-
- Pediatric Nephrology Physician
- Hollywood, FL
- NPI 1467468496
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Hollywood, FL
- NPI 1962991562
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Pediatric Surgery Physician
- Hollywood, FL
- NPI 1376550392
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500076800000",
"number": "1497280341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "DOOR D",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213925",
"telephone_number": "954-276-5685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JOHNSON ST",
"address_2": "MRH TOTAL HEART CENTER",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215421",
"telephone_number": "954-265-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEFALAS",
"first_name": "MAREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2017-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9295476",
"primary": true
}
],
"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 Jul 15, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.