Individual provider Active NPI

Matthew Herbert Moretti, D.O.

  • Family Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1841380227
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9869 Issued in FL
Practice address
1777 S Andrews Ave
Suite 200
Ft Lauderdale, FL 33316-2517
Phone
(954) 762-9173
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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 OS9869 FL Primary

Addresses

Primary practice location

1777 S Andrews Ave
Suite 200
Ft Lauderdale, FL 33316-2517

Mailing address

1777 S Andrews Ave
Suite 200
Ft Lauderdale, FL 33316-2517
Phone (954) 762-9173

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
I20081029000791 FL Practitioner - Family Practice 2668531054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1115 S Federal Hwy
Holy Cross Urgent Care
Ft Lauderdale, FL 33316-1256
Phone (954) 764-6646

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9869FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Oct 1, 2017 Accepting new patients
Holy Cross Hospital Inc Family Medicine CurrentSince Oct 1, 2017 Accepting new patients

Locations

1309 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

1115 S Federal Hwy
Ft Lauderdale, FL 33316
Phone (954) 764-6646

Interoperability endpoints

  • Direct secure messaging: mmoretti2023498@direct.trinity-health.org

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 7

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1841380227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE",
            "address_2": "SUITE 200",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-762-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 S ANDREWS AVE",
            "address_2": "SUITE 200",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162517",
            "telephone_number": "954-762-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORETTI",
        "first_name": "MATTHEW",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.