Individual provider Active NPI

Perry Krichmar, M.D

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1609853084
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 55521 Issued in FL
Practice address
1380 South Hiatus Road
Pembroke Pines, FL 33025
Phone
(954) 432-1511
Fax
(954) 432-5195
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 55521 FL Primary

Addresses

Primary practice location

1380 South Hiatus Road
Pembroke Pines, FL 33025

Mailing address

1380 S Hiatus Road
Pembroke Pines, FL 33025
Phone (954) 432-1511

Other identifiers 1

IdentifierTypeStateIssuer
051320200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 55521FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Cardiology Associates LLC Cardiovascular Disease Past Accepting new patients

Organizations & group practices 1

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1609853084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 S HIATUS ROAD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33025",
            "telephone_number": "954-432-1511",
            "fax_number": "954-432-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 SOUTH HIATUS ROAD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33025",
            "telephone_number": "954-432-1511",
            "fax_number": "954-432-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRICHMAR",
        "first_name": "PERRY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 55521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051320200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.