Individual provider Active NPI

Michael Ehrenman, M.D.

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1679522395
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME65945 Issued in FL
Practice address
1806 N Pine Isalnd Rd
Plantation, FL 33322-5202
Phone
(954) 474-0110
Fax
(954) 424-9859
NPI assigned
May 9, 2006
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME65945 FL Primary

Addresses

Primary practice location

1806 N Pine Isalnd Rd
Plantation, FL 33322-5202

Mailing address

8397 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone (954) 741-5000

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
I20090219000445 FL Practitioner - Internal Medicine 8022173350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians
South Dade Primary Care LLCGroup PAC ID 6002835360, 24 clinicians

Practice addresses (Care Compare)

1806 N Pine Island Rd
Plantation, FL 33322-5202
Phone (954) 474-0110

3345 Burns Rd
Suite 302
Palm Beach Gardens, FL 33410-4321
Phone (561) 622-7661

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Dade Primary Care, LLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Claremedica Viking LLC CurrentSince Jul 1, 2025 Accepting new patients
Senior Medical Associates LLC Past Accepting new patients

Locations

1000 NW 57th Ct
Ste 400
Miami, FL 33126

14750 NW 77th Ct
Ste 100
Miami Lakes, FL 33016
Phone (786) 485-1005

3345 Burns Rd
Ste 302
Palm Beach Gardens, FL 33410
Phone (561) 622-4047

9835 E Hibiscus St
Palmetto Bay, FL 33157
Phone (305) 238-8561

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

1806 N Pine Island Rd
Plantation, FL 33322
Phone (954) 474-0110

4700 N Habana Ave
Ste 403
Tampa, FL 33614
Phone (813) 876-9553

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1679522395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8397 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517307",
            "telephone_number": "954-741-5000",
            "fax_number": "954-741-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N PINE ISALND RD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225202",
            "telephone_number": "954-474-0110",
            "fax_number": "954-424-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME65945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.