Individual provider Active NPI

Dean Guadagna, DO

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1841284205
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5675 Issued in FL
Practice address
2057 N University Dr
Sunrise, FL 33322-3936
Phone
(954) 742-0330
Fax
(954) 742-8183
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS5675 FL Primary

Addresses

Primary practice location

2057 N University Dr
Sunrise, FL 33322-3936

Mailing address

2057 N University Dr
Sunrise, FL 33322-3936
Phone (954) 742-0330

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
I20120611000200 FL Practitioner - Family Practice 1153585807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Medical Physicians, LLCGroup PAC ID 4183016991, 13 clinicians

Practice addresses (Care Compare)

6517 Taft St
Suite 102
Hollywood, FL 33024-4063
Phone (954) 399-9014

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medical Physicians, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

6517 Taft St
Ste 102
Hollywood, FL 33024
Phone (954) 399-9014

7050 Taft St
Hollywood, FL 33024
Phone (954) 399-9014

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFDCD

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1841284205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 N UNIVERSITY DR",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223936",
            "telephone_number": "954-742-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 N UNIVERSITY DR",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223936",
            "telephone_number": "954-742-0330",
            "fax_number": "954-742-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADAGNA",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.