Individual provider Active NPI

Adam Zalis

  • Diagnostic Radiology Physician
  • Pembroke Pines, FL
National Provider Identifier
1780047894
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME156705 Issued in FL
Practice address
500 N Hiatus Rd Ste 200
Pembroke Pines, FL 33026-5213
Phone
(954) 437-4800
Fax
(954) 437-6628
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME156705 FL Primary

Addresses

Primary practice location

500 N Hiatus Rd Ste 200
Pembroke Pines, FL 33026-5213

Mailing address

1250 Melissa LN
Davie, FL 33325-3047
Phone (954) 242-0365

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azalis313249@MHSDIRECT.NET Health Information Exchange (HIE)

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
I20220630000923 FL Practitioner - Diagnostic Radiology 3476849993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Florida Atlantic University, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1194 SW 149TH Ter
Sunrise, FL 33326-1949
Phone (904) 339-5550

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

3600 Washington St
Hollywood, FL 33021-8216
Phone (904) 399-5550

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (904) 399-5550

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • 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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Radiology Associates of Hollywood, Inc. Diagnostic Radiology Past Accepting new patients

Locations

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

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

500 N Hiatus Rd
Ste 200
Pembroke Pines, FL 33026
Phone 9544374800 ext. 2133

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Interoperability endpoints

  • Direct secure messaging: azalis313249@mhsdirect.net

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 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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1780047894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MELISSA LN",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253047",
            "telephone_number": "954-242-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N HIATUS RD STE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330265213",
            "telephone_number": "954-437-4800",
            "fax_number": "954-437-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALIS",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME156705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azalis313249@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "azalis313249@MHSDIRECT.NET",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "Memorial Regional hospital",
            "address_2": "3501 Johnson Street",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33021",
            "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.