Individual provider Active NPI

Marc Nicholas Ialenti, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hollywood, FL
National Provider Identifier
1750680336
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME132587 Issued in FL
Practice address
4700 Sheridan St Ste H
Hollywood, FL 33021-3416
Phone
(954) 961-3500
NPI assigned
Mar 21, 2011
Last updated
May 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME132587 FL Primary

Addresses

Primary practice location

4700 Sheridan St Ste H
Hollywood, FL 33021-3416

Mailing address

4700 Sheridan St Ste H
Hollywood, FL 33021-3416
Phone (954) 961-3500

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-1315

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
I20171026003275 FL Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 6608168976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

4700 Sheridan St H
Hollywood, FL 33021-3416
Phone (954) 961-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.18 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of South Broward,PA CurrentSince May 26, 2020 Accepting new patients
Orthopaedic Associates of South Broward PA CurrentSince May 26, 2020 Accepting new patients
Davie Urgent Care LLC Past Accepting new patients

Locations

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

4700 Sheridan St
Ste H
Hollywood, FL 33021
Phone (954) 961-3500

1 SW 129th Ave
Ste 401
Pembroke Pines, FL 33027
Phone (786) 753-2917

1 SW 129th Ave
Ste 501
Pembroke Pines, FL 33027
Phone (954) 961-3500

Interoperability endpoints

  • Direct secure messaging: mialenti171586@mhsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1750680336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST STE H",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213416",
            "telephone_number": "954-961-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST STE H",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213416",
            "telephone_number": "954-961-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IALENTI",
        "first_name": "MARC",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME132587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.