Individual provider Active NPI

Bhavika Swaroop

  • Physician Assistant
  • Plantation, FL
National Provider Identifier
1710575840
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116563 Issued in FL
Practice address
350 NW 84TH Ave Ste 102
Plantation, FL 33324-1820
Phone
(954) 370-7555
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116563 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave Ste 102
Plantation, FL 33324-1820

Mailing address

9626 NW 48TH St
Sunrise, FL 33351-5116
Phone (954) 826-8824

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230413002219 FL Practitioner - Physician Assistant 5294100715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116563FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Feb 13, 2023 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Feb 13, 2023 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

21355 E Dixie Hwy
Ste 111
Aventura, FL 33180
Phone (305) 692-1100

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2101 Riverside Dr
#101
Coral Springs, FL 33071
Phone (954) 341-6200

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

21150 Biscayne Blvd
Ste 104
Miami, FL 33180
Phone (305) 535-2170

12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 392-4750

350 NW 84th Ave
Ste 300
Plantation, FL 33324
Phone (954) 473-6776

350 NW 84th Ave
Ste 102
Plantation, FL 33324
Phone (954) 370-7555

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1710575840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9626 NW 48TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515116",
            "telephone_number": "954-826-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241820",
            "telephone_number": "954-370-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAROOP",
        "first_name": "BHAVIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.