NPIMap

Individual provider Active NPI

Armando A De Feria, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1639179807
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME70790 Issued in FL
Practice address
600 N Hiatus Rd
Suite 203
Pembroke Pines, FL 33026-5207
Phone
(954) 392-7157
Fax
(954) 443-4941
NPI assigned
Jul 28, 2005
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2021-03416 NC
Internal Medicine Physician 207R00000X ME70790 FL Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X ME70790 FL

Addresses

Primary practice location

600 N Hiatus Rd
Suite 203
Pembroke Pines, FL 33026-5207

Mailing address

600 N Hiatus Rd
Suite 203
Pembroke Pines, FL 33026-5207
Phone (954) 392-7157

Other identifiers 1

IdentifierTypeStateIssuer
250941500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000083 FL Practitioner - Internal Medicine 5193896223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Medical LLCGroup PAC ID 4789919028, 2 clinicians
Armando a de Feria MD PAGroup PAC ID 6103997234, 3 clinicians

Practice addresses (Care Compare)

600 N Hiatus Rd
Suite 203
Pembroke Pines, FL 33026-5207
Phone (954) 392-7157

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021-03416NCMDInternal Medicine Physician
ME70790FLMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical LLC Internal Medicine CurrentSince Apr 19, 2018 Accepting new patients
Armando a de Feria MD PA Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Lakeside Med LLC Internal Medicine Past Accepting new patients
West Broward Healthcare LLC PastSince May 31, 2024 Accepting new patients

Locations

4200 Washington St
Hollywood, FL 33021
Phone (954) 981-4079

1710 Lucerne Ave
Lake Worth Beach, FL 33460
Phone (561) 582-1912

2599 NW 55th Ave
Lauderhill, FL 33313
Phone (954) 484-1951

600 N Hiatus Rd
Ste 203
Pembroke Pines, FL 33026
Phone (954) 392-7155

6931 W Sunrise Blvd
Plantation, FL 33313
Phone (954) 583-6200

7751 W Broward Blvd
Plantation, FL 33324
Phone (954) 473-8040

4800 N Nob Hill Rd
Sunrise, FL 33351
Phone (954) 577-3600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broward Oaks Nursing and RehabilitationPlantation, FL, CCN 105237 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 May 31, 2024
May 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1639179807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N HIATUS RD",
            "address_2": "SUITE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265207",
            "telephone_number": "954-392-7157",
            "fax_number": "954-443-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIATUS RD",
            "address_2": "SUITE 203",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265207",
            "telephone_number": "954-392-7157",
            "fax_number": "954-443-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE FERIA",
        "first_name": "ARMANDO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2021-03416",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70790",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME70790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250941500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.