Individual provider Active NPI

Mario Bernardo Pereira, MD

  • Internal Medicine Physician
  • Plantation, FL
National Provider Identifier
1760680466
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME104716 Issued in FL
Practice address
8251 W Broward Blvd
Suite 103
Plantation, FL 33324-2703
Phone
(954) 255-7310
Fax
(954) 255-7311
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08487200 NJ
Internal Medicine Physician 207R00000X ME104716 FL Primary

Addresses

Primary practice location

8251 W Broward Blvd
Suite 103
Plantation, FL 33324-2703

Mailing address

8251 W Broward Blvd
Suite 103
Plantation, FL 33324-2703
Phone (954) 255-7310

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
I20091022000703 FL Practitioner - Internal Medicine 0840356150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CCG of South Florida LLCGroup PAC ID 8022284173, 9 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

2901 Coral Hills Dr
Suite 360
Coral Springs, FL 33065-4146
Phone (954) 255-7310

325 Cypress Pkwy
Kissimmee, FL 34759-3326
Phone (407) 530-2000

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 721-2200

8201 W Broward Blvd
Westside Regional Medical Center
Plantation, FL 33324-2701
Phone (954) 476-3911

8251 W Broward Blvd
Plantation, FL 33324-2703
Phone (954) 255-7310

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, Coral Springs, FL, CCN 108253
  • Med-Care Home Health Services Inc. Home health agency, Plantation, FL, CCN 107399
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME104716FLMDInternal Medicine Physician
25MA08487200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CCG of South Florida LLC Internal Medicine CurrentSince Oct 17, 2011 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
East Florida Hospitalists LLC Past Accepting new patients

Locations

2901 Coral Hills Dr
Ste 360
Coral Springs, FL 33065
Phone (954) 255-7310

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

8251 W Broward Blvd
Ste 103
Plantation, FL 33324
Phone (954) 255-7310

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

Interoperability endpoints

  • Direct secure messaging: mario.pereira@hca4.eclinicaldirectplus.com

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.

Hospital & facility affiliations 7

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1760680466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD",
            "address_2": "SUITE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-255-7310",
            "fax_number": "954-255-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 W BROWARD BLVD",
            "address_2": "SUITE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242703",
            "telephone_number": "954-255-7310",
            "fax_number": "954-255-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "MARIO",
        "middle_name": "BERNARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08487200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.