Individual provider Active NPI

Anel Alvarado, M.D.

  • Surgery Physician
  • Davie, FL
National Provider Identifier
1629065222
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME79004 Issued in FL
Practice address
7630 SW 34TH MNR Ste 450
Davie, FL 33328-1987
Phone
(954) 372-1429
Fax
(954) 744-4519
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME79004 FL Primary

Addresses

Primary practice location

7630 SW 34TH MNR Ste 450
Davie, FL 33328-1987

Mailing address

7630 SW 34TH MNR Ste 450
Davie, FL 33328-1987
Phone (954) 372-1429

Other identifiers 2

IdentifierTypeStateIssuer
201224718OtherFLTAX IDENTIFICATION
257554000MedicaidFL

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
I20040730000685 FL Practitioner - General Surgery 0840260329 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Surgical Specialists LLCGroup PAC ID 5799881660, 91 clinicians

Practice addresses (Care Compare)

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (954) 344-3000

7630 SW 34TH MNR
Suite 450
Davie, FL 33328-1987
Phone (954) 372-1429

Hospital & facility affiliations

  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79004FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Surgical Specialists LLC Surgery CurrentSince Jan 1, 2019 Accepting new patients
South Broward Hospital District CurrentSince May 1, 2013 Accepting new patients
South Broward Hospital District Surgery CurrentSince May 1, 2013 Accepting new patients
South Broward Surgical Group LLC Past Accepting new patients

Locations

20801 Biscayne Blvd
Ste 203
Aventura, FL 33180
Phone (305) 682-2580

3001 Coral Hills Dr
Ste 320
Coral Springs, FL 33065
Phone (954) 755-0111

7630 SW 34th Mnr
Ste 450
Davie, FL 33328
Phone (954) 372-1429

1625 SE 3rd Ave
Ste 723
Ft Lauderdale, FL 33316
Phone (954) 616-1916

1625 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 722-4950

1150 N 35th Ave
Ste 490
Hollywood, FL 33021
Phone (954) 265-3437

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

601 N Flamingo Rd
Ste 211
Pembroke Pines, FL 33028
Phone (954) 389-2700

2301 N University Dr
Ste 204
Pembroke Pines, FL 33024
Phone (305) 317-3680

350 NW 84th Ave
Ste 311
Plantation, FL 33324
Phone (954) 476-9899

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1629065222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 SW 34TH MNR STE 450",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281987",
            "telephone_number": "954-372-1429",
            "fax_number": "954-744-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 SW 34TH MNR STE 450",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333281987",
            "telephone_number": "954-372-1429",
            "fax_number": "954-744-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "ANEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME79004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "201224718",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257554000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.