Individual provider Active NPI

David Michael Feldbaum, MD

  • Vascular Surgery Physician
  • Pembroke Pines, FL
National Provider Identifier
1558359364
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME79347 Issued in FL
Practice address
2205 N University Dr
Pembroke Pines, FL 33024-3611
Phone
(954) 964-6684
Fax
(954) 964-6649
NPI assigned
Oct 6, 2005
Last updated
Apr 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME79347 FL Primary

Addresses

Primary practice location

2205 N University Dr
Pembroke Pines, FL 33024-3611

Mailing address

2205 N University Dr
Pembroke Pines, FL 33024-3611
Phone (954) 964-6684

Other identifiers 7

IdentifierTypeStateIssuer
2012518OtherFLCIGNA
267206OtherFLAVMED
3700063OtherFLUNITED HEALTH CARE
172300OtherFLJMH HEALTH PLAN
035548OtherFLNEIGHBORHOOD HEALTH PLAN
258140000MedicaidFL
49531OtherFLBLUE CROSS/BLUE SHIELD

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
I20090310000277 FL Practitioner - Vascular Surgery 1052381738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein and Vascular Center of South Florida LLCGroup PAC ID 0749426799, 2 clinicians

Practice addresses (Care Compare)

4700 Sheridan St
Hollywood, FL 33021-3416
Phone (954) 964-6684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal74
Leg revascularization (restoring blood flow)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vein & Vascular Center of South Florida LLC Vascular Surgery CurrentSince Mar 1, 2013 Accepting new patients
David M Feldbaum MD PA Vascular Surgery PastSince Aug 19, 2003 Accepting new patients

Locations

4700 Sheridan St
Hollywood, FL 33021
Phone (954) 505-4458

4700 Sheridan St
Ste D
Hollywood, FL 33021
Phone (954) 964-6684

2205 N University Dr
Pembroke Pines, FL 33024
Phone (954) 964-6684

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1558359364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-964-6684",
            "fax_number": "954-964-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-964-6684",
            "fax_number": "954-964-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDBAUM",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME79347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2012518",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "267206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "3700063",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JMH HEALTH PLAN",
            "identifier": "172300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "035548",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258140000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "49531",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.