NPIMap

Individual provider Active NPI

Niermala Rattan Washington, M.D.

  • General Practice Physician
  • Pompano Beach, FL
National Provider Identifier
1780611764
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME90568 Issued in FL
Practice address
3511 NW 8TH Ave
Suite # 2
Pompano Beach, FL 33064-3055
Phone
(954) 783-0621
Fax
(954) 783-0622
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME90568 FL
General Practice Physician 208D00000X ME90568 FL Primary

Addresses

Primary practice location

3511 NW 8TH Ave
Suite # 2
Pompano Beach, FL 33064-3055

Mailing address

3511 NW 8TH Ave
Suite # 2
Pompano Beach, FL 33064-3055
Phone (954) 783-0621

Other practice location 1

151 NW 11th St Ste W303
Homestead, FL 33030-4306
Phone (786) 743-4803

Other identifiers 1

IdentifierTypeStateIssuer
271039100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000694 FL Practitioner - General Practice 9830155696 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3511 NW 8TH Ave
Pompano Beach, FL 33064-3055
Phone (954) 783-0621

7316 W Atlantic Boulevard
Margate, FL 33063-4217
Phone (954) 971-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mani Medical Clinic Corp Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Mercy Family & Urgent Care, Inc General Practice CurrentSince Jan 2, 2005 Accepting new patients
Niermala Rattan-Washington,M.D.,P.a. Family Medicine CurrentSince Jan 2, 2005 Accepting new patients

Locations

151 NW 11th St
Ste W303
Homestead, FL 33030
Phone (305) 247-4410

7316 W Atlantic Blvd
Margate, FL 33063
Phone (954) 971-5700

3511 NW 8th Ave
Ste 2
Pompano Beach, FL 33064
Phone (954) 783-0621

3511 NW 8th Ave
#I2
Pompano Beach, FL 33064
Phone (954) 783-0621

Organizations & group practices 4

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 9

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1780611764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 NW 8TH AVE",
            "address_2": "SUITE # 2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643055",
            "telephone_number": "954-783-0621",
            "fax_number": "954-783-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 NW 8TH AVE",
            "address_2": "SUITE # 2",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643055",
            "telephone_number": "954-783-0621",
            "fax_number": "954-783-0622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 NW 11th St Ste W303",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330304306",
            "country_code": "US",
            "telephone_number": "786-743-4803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "NIERMALA",
        "middle_name": "RATTAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90568",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME90568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271039100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.