NPIMap

Organization Active NPI

SMD Medservices LLC

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1548817562
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SMD MEDSERVICES LLC
Practice address
201 NW 82ND Ave 305
Plantation, FL 33324-2401
Phone
(786) 314-1318
NPI assigned
Aug 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Giezy Sardinas, M.DNPI 1760794556
Title
Owner
Phone
(786) 314-1318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

201 NW 82ND Ave 305
Plantation, FL 33324-2401

Mailing address

4148 SW 130TH Ave
Davie, FL 33330-4716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200130001402 FL Part B Supplier - Clinic/Group Practice 4385070929 Receives reassigned benefits from 7 practitioners
Practice locations: Tamarac, FL; Sunrise, FL; Plantation, FL; North Miami, FL; Miami Lakes, FL; Miami, FL; Clewiston, FL; Coral Gables, FL…

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1548817562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4148 SW 130TH AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 82ND AVE 305",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242401",
            "telephone_number": "786-314-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMD MEDSERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "SARDINAS",
        "authorized_official_first_name": "GIEZY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-314-1318",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.