Individual provider Active NPI

Frederick J a Font, MD

  • Rheumatology Physician
  • Hollywood, FL
National Provider Identifier
1548333685
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
130497 Issued in FL
Practice address
4700 Sheridan St Ste C
Hollywood, FL 33021
Phone
(954) 961-3252
Fax
(954) 678-3007
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 6003 PR
Rheumatology Physician 207RR0500X 130497 FL Primary

Addresses

Primary practice location

4700 Sheridan St Ste C
Hollywood, FL 33021

Mailing address

3974 SW 141St Ave
Davie, FL 33330-5721
Phone (787) 409-7138

Other practice location 1

4700 Sheridan St Ste C
Hollywood, FL 33021
Phone (954) 961-3252

Other identifiers 4

IdentifierTypeStateIssuer
D66171OtherBC
602297OtherMMM
602287OtherMMM
29213F0OtherTRICARE

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
I20190315000873 FL Practitioner - RheumatologyPractitioner - Internal Medicine 9234318882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Rheumatology, LLCGroup PAC ID 1658719216, 6 clinicians

Practice addresses (Care Compare)

4331 N Federal Hwy
Suite 300
Ft Lauderdale, FL 33308-5252
Phone (954) 237-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130497FLMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rheumatology, LLC Rheumatology CurrentSince Feb 1, 2024 Accepting new patients
Coastal Rheumatology, LLC Rheumatology Current Accepting new patients
Rheumatology Center Inc Rheumatology Current Accepting new patients

Locations

4331 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 237-3000

4700 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 961-3252

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEHGBA

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1548333685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3974 SW 141ST AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333305721",
            "telephone_number": "787-409-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST STE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33021",
            "telephone_number": "954-961-3252",
            "fax_number": "954-678-3007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Sheridan St Ste C",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "33021",
            "country_code": "US",
            "telephone_number": "954-961-3252",
            "fax_number": "954-678-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONT",
        "first_name": "FREDERICK",
        "middle_name": "J A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "6003",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "130497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "D66171",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "602297",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "602287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "29213F0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.