Individual provider Active NPI

Michael Remaly, DO

  • Emergency Medicine Physician
  • Hollywood, FL
National Provider Identifier
1841225752
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS0009468 Issued in FL
Practice address
3600 Washington St
Hollywood, FL 33021-8216
Phone
(954) 966-4500
Fax
(904) 346-0113
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS0009468 FL Primary

Addresses

Primary practice location

3600 Washington St
Hollywood, FL 33021-8216

Mailing address

PO Box 863481
Orlando, FL 32886-3481
Phone (954) 563-8332

Other identifiers 2

IdentifierTypeStateIssuer
272285200MedicaidFL
03432OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mremaly151607@mhsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050627000547 FL Practitioner - Emergency Medicine 6103861513 Reassigns benefits to 2 organizations
I20160818001162 TX Practitioner - Emergency Medicine 6103861513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inphynet South Broward LLCGroup PAC ID 4587563960, 67 clinicians

Practice addresses (Care Compare)

703 N Flamingo Rd
Memorial Hospital West
Pembroke Pines, FL 33028-1006
Phone (954) 436-5000

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS0009468FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 2, 2016 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
Rosebud Indian Health Service CurrentSince Aug 2, 2016 Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Gulfstream Emergency Physicians Emergency Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients
Leeland ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Oceanwind ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients

Locations

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

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

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

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

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

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 9

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 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1841225752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863481",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863481",
            "telephone_number": "954-563-8332",
            "fax_number": "904-346-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 WASHINGTON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218216",
            "telephone_number": "954-966-4500",
            "fax_number": "904-346-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMALY",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0009468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272285200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03432",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mremaly151607@mhsdirect.net",
            "affiliation": "N",
            "address_1": "3600 Washington St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330218216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.