Individual provider Active NPI

Vivian Bilasano, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1821002825
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 77619 Issued in FL
Practice address
17913 NW 7TH St Ste 101
Pembroke Pines, FL 33029-2811
Phone
(954) 320-7999
Fax
(954) 320-7601
NPI assigned
Jul 28, 2006
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME77619 FL
Internal Medicine Physician 207R00000X ME 77619 FL Primary

Addresses

Primary practice location

17913 NW 7TH St Ste 101
Pembroke Pines, FL 33029-2811

Mailing address

17913 NW 7TH St Ste 101
Pembroke Pines, FL 33029-2811
Phone (954) 320-7999

Other practice location 1

1951 SW 172nd Ave
Suite 312
Miramar, FL 33029-5593
Phone (954) 320-7999

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
I20080916000468 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0749357812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vivian Bilasano MD LLCGroup PAC ID 3779890900, 2 clinicians

Practice addresses (Care Compare)

17913 NW 7TH St
Suite 101
Pembroke Pines, FL 33029-2811
Phone (305) 502-5272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 77619FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vivian Bilasano MD LLC CurrentSince Jun 23, 2015 Accepting new patients

Locations

1951 SW 172nd Ave
Ste 312
Miramar, FL 33029
Phone (954) 432-3224

17913 NW 7th St
Ste 101
Pembroke Pines, FL 33029
Phone (954) 320-7999

Organizations & group practices 1

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 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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1821002825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17913 NW 7TH ST STE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292811",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1951 SW 172nd Ave",
            "address_2": "SUITE 312",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330295593",
            "country_code": "US",
            "telephone_number": "954-320-7999",
            "fax_number": "954-320-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILASANO",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME77619",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 77619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.