Individual provider Active NPI

Adelheid Christine Reinoso, MD

  • Surgery Physician
  • Pembroke Pines, FL
National Provider Identifier
1679562219
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME69679 Issued in FL
Practice address
7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone
(954) 883-8014
Fax
(954) 986-8306
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 ME69679 FL Primary

Addresses

Primary practice location

7800 Sheridan St
Pembroke Pines, FL 33024-2536

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 883-8014

Other practice location 1

5015 Hollywood Blvd
Hollywood, FL 33021-6515
Phone (954) 322-7335

Other identifiers 1

IdentifierTypeStateIssuer
025029000MedicaidFL

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
I20090721000052 FL Practitioner - General Surgery 3375695406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Miami, LM Miller School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

7800 Sheridan St
FL 1
Pembroke Pines, FL 33024-2536
Phone (954) 883-8014

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69679FLMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Oct 25, 2023 Accepting new patients
South Broward Hospital District CurrentSince Oct 25, 2023 Accepting new patients
South Broward Hospital District Past Accepting new patients
Rajkumar Nebhrajani M.D., Inc. Past Accepting new patients

Locations

3700 Washington St
Hollywood, FL 33021
Phone (954) 322-7335

3700 Washington St
Ste 202
Hollywood, FL 33021
Phone (954) 322-7335

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

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

7800 Sheridan St
Fl 1
Pembroke Pines, FL 33024
Phone (954) 883-8014

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

Interoperability endpoints

  • Direct secure messaging: areinoso13482@mhsdirect.net

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.

Hospital & facility affiliations 3

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1679562219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925",
            "telephone_number": "954-883-8014",
            "fax_number": "954-986-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHERIDAN ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330242536",
            "telephone_number": "954-883-8014",
            "fax_number": "954-986-8306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5015 HOLLYWOOD BLVD",
            "address_purpose": "LOCATION",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216515",
            "country_code": "US",
            "telephone_number": "954-322-7335",
            "fax_number": "954-322-7598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINOSO",
        "first_name": "ADELHEID",
        "middle_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME69679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025029000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.