Individual provider Active NPI

Peter P Simek, MD

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1568443448
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0044831 Issued in FL
Practice address
100 NW 82ND Ave
Suite 206
Plantation, FL 33324
Phone
(954) 424-7504
Fax
(954) 424-7503
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0044831 FL
Internal Medicine Physician 207R00000X ME0044831 FL Primary

Addresses

Primary practice location

100 NW 82ND Ave
Suite 206
Plantation, FL 33324

Mailing address

100 NW 82ND Ave
Suite 206
Plantation, FL 33324
Phone (954) 424-7504

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
I20080804000405 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 8729060199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 NW 82ND Ave
Suite 206
Plantation, FL 33324-1899
Phone (954) 424-7504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044831FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plantation Medical Clinic PA Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Inphynet Contracting Services LLC CurrentSince Jan 1, 2009 Accepting new patients
Inphynet South Broward LLC Family Medicine CurrentSince Dec 1, 1999 Accepting new patients
Plantation Medical Clinic Internal Medicine PastSince Aug 13, 1997 Accepting new patients

Locations

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

801 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

100 NW 82nd Ave
Ste 206
Plantation, FL 33324
Phone (954) 242-7504

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 4

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1568443448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "SUITE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-424-7504",
            "fax_number": "954-424-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "SUITE 206",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-424-7504",
            "fax_number": "954-424-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEK",
        "first_name": "PETER",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0044831",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0044831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.