Ihor Pidhorecky, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

ME80863 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 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General SurgeryAlso: Surgical Oncology

Education

Icahn School of Medicine at Mount Sinai, 1993

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)

Hospital & facility affiliations

• HCA Florida University Hospital Hospital, Davie, FL, CCN 100360
• Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Florida Surgical Specialists LLC

  • Surgery Physician
  • Coral Springs, FL
  • NPI 1952409963
  Medicare reassignment Care Compare group NPD
• South Broward Hospital District

  • Surgery Physician
  • Pembroke Pines, FL
  • NPI 1669713673

  Surgical Oncology

  Medicare reassignment NPD
• East Florida Surgical Specialists, LLC

  • Surgical Oncology Physician
  • Davie, FL
  • NPI 1972468585
  Medicare reassignment
• South Broward Hospital District

  • Home Infusion Therapy Pharmacy
  • Miramar, FL
  • NPI 1043656614
  NPD
• South Broward Surgical Group LLC

  • Specialist
  • Pembroke Pines, FL
  • NPI 1619015658
  NPD (past)

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

• Columbia Hospital Corporation of South Broward

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1063466589
  Care Compare affiliation
• Davie Medical Center, LLC

  • General Acute Care Hospital
  • Davie, FL
  • NPI 1871182956
  Care Compare affiliation

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1689660367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N UNIVERSITY DR STE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243617",
            "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": "PIDHORECKY",
        "first_name": "IHOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME80863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259419600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physical and Mental Wellness Corp.
• Physical Therapy Institute and Aquatic Rehab, Inc.
• Physicians Marketing Institute
• Physiotraining Services Inc
• Carrigan Leigh Pick, DMD
• Aida Lydia Piedra, BS, CTRS
• Jack Piermatti, D.M.D.
• Murat Pierre Louis
• Daphnee Pierre Noel
• Thelma Pierre-Lockhart

• Surgical Oncology Physician in Davie, FL
• Providers in Davie, FL by specialty
• Surgical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.