Individual provider Active NPI

Selbourne C Goode, MD

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1730126095
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 0077286 Issued in FL
Practice address
603 N Flamingo Rd Ste 255
Pembroke Pines, FL 33028
Phone
(954) 265-7900
Fax
(954) 276-0133
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 0077286 FL Primary

Addresses

Primary practice location

603 N Flamingo Rd Ste 255
Pembroke Pines, FL 33028

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685

Other identifiers 1

IdentifierTypeStateIssuer
256577300MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgoode12653@MHSDIRECT.NET Direct

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
I20050521000030 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5890736631 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians
Ekg Associates IncGroup PAC ID 8527956549, 36 clinicians
Cardiology and Neurology Associates IncGroup PAC ID 1759364003, 25 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Hollywood, FL 33021-5431
Phone (954) 265-7900

1951 SW 172ND Ave
Suite 404
Miramar, FL 33029-5614
Phone (954) 265-7900

601 N Flamingo Rd
Suite 316
Pembroke Pines, FL 33028-1015
Phone (954) 265-3015

603 N Flamingo Rd
Pembroke Pines, FL 33028-1013
Phone (954) 265-7900

703 N Flamingo Rd
Ekg Readers Panel
Pembroke Pines, FL 33028-1006
Phone (954) 726-1808

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650

801 N Flamingo Rd
Pembroke Pines, FL 33028-1019
Phone (954) 265-7900

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0077286FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Selbourne Goode MD PLLC Cardiovascular Disease CurrentSince Sep 1, 2012 Accepting new patients
South Broward Hospital District Cardiovascular Disease CurrentSince Mar 1, 2015 Accepting new patients
South Broward Hospital District CurrentSince Mar 1, 2015 Accepting new patients
South Broward Hospital District Past Accepting new patients
Cruz-Lee-Llacer & Associates P a Past Accepting new patients

Locations

1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

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

1951 SW 172nd Ave
Ste 404
Miramar, FL 33029
Phone (954) 265-0000

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

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

603 N Flamingo Rd
Ste 255
Pembroke Pines, FL 33028
Phone (954) 265-1125

2217 N University Dr
Pembroke Pines, FL 33024
Phone (954) 883-8140

10071 Pines Blvd
Ste A
Pembroke Pines, FL 33024
Phone (954) 442-0025

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

601 N Flamingo Rd
Ste 305
Pembroke Pnes, FL 33028
Phone (954) 382-1550

Interoperability endpoints

  • Direct secure messaging: sgoode12653@mhsdirect.net

Organizations & group practices 10

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 4

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1730126095",
    "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": "954-276-5685",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD STE 255",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33028",
            "telephone_number": "954-265-7900",
            "fax_number": "954-276-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE",
        "first_name": "SELBOURNE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 0077286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256577300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgoode12653@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "603 N Flamingo Rd Ste 255",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.