Individual provider Active NPI

Ana G. Tascheret, M.D.

  • Internal Medicine Physician
  • Hollywood, FL
National Provider Identifier
1689946758
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME120398 Issued in FL
Practice address
1200 S Federal Hwy
Hollywood, FL 33020
Phone
(954) 505-4141
Fax
(954) 404-7760
NPI assigned
Feb 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 ME120398 FL Primary

Addresses

Primary practice location

1200 S Federal Hwy
Hollywood, FL 33020

Mailing address

1200 S Federal Hwy
Hollywood, FL 33020-6030
Phone (954) 505-4141

Other practice location 1

1200 S Federal Hwy
Hollywood, FL 33020-6030
Phone (954) 505-4141

Other practice location 2

1200 S Federal Hwy
Hollywood, FL 33020-6030
Phone (954) 505-4141

Other practice location 3

20801 N.W. 2nd Ave.
Chen Medical County Line
Miami, FL 33169
Phone (305) 653-1770

Other identifiers 1

IdentifierTypeStateIssuer
023990400MedicaidFL

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
I20141022000567 FL Practitioner - Internal Medicine 3779704465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lux Medical Health Center IncGroup PAC ID 9830451467, 2 clinicians

Practice addresses (Care Compare)

1200 S Federal Hwy
Hollywood, FL 33020-6030
Phone (954) 505-4141

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ana.tascheret.ocampo.1@21851.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1689946758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206030",
            "telephone_number": "954-505-4141",
            "fax_number": "954-404-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-505-4141",
            "fax_number": "954-404-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330206030",
            "country_code": "US",
            "telephone_number": "954-505-4141",
            "fax_number": "954-404-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330206030",
            "country_code": "US",
            "telephone_number": "954-505-4141",
            "fax_number": "954-404-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20801 N.W. 2nd Ave.",
            "address_2": "Chen Medical County Line",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33169",
            "country_code": "US",
            "telephone_number": "305-653-1770",
            "fax_number": "305-650-0672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASCHERET",
        "first_name": "ANA",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-03",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023990400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.