Individual provider Active NPI

Jonathan Phillip Nieves, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Deerfield Beach, FL
National Provider Identifier
1851702674
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME135343 Issued in FL
Practice address
1 W Sample Rd Ste 204
Deerfield Beach, FL 33064-3547
Phone
(954) 785-0300
Fax
(954) 785-0229
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME135343 FL Primary

Addresses

Primary practice location

1 W Sample Rd Ste 204
Deerfield Beach, FL 33064-3547

Mailing address

1608 SE 3Rd Ave FL 3
Fort Lauderdale, FL 33316-2564
Phone (954) 785-0300

Other practice location 1

3100 Coral Hills Dr Ste 302
Coral Springs, FL 33065-4138
Phone (954) 724-3470

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
I20181112001543 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 0143513986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

1625 SE 3 Ave
Fort Lauderdale, FL 33316-2521
Phone (954) 320-3322

Hospital & facility affiliations

  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince Jan 27, 2025 Accepting new patients
North Broward Hospital District Current Accepting new patients
North Broward Hospital District CurrentSince Jan 27, 2025 Accepting new patients
North Broward Hospital District Past Accepting new patients

Locations

3100 Coral Hills Dr
Ste 302
Coral Springs, FL 33065
Phone (954) 341-5034

1 W Sample Rd
Ste 204
Deerfield Beach, FL 33064
Phone (954) 785-0300

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1608 SE 3rd Ave
Fl 3
Ft Lauderdale, FL 33316

1625 SE 3rd Ave
Ste 623
Ft Lauderdale, FL 33316
Phone (954) 320-3322

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Networks

  • Freedom Health HMO Network

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 5

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1851702674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564",
            "telephone_number": "954-785-0300",
            "fax_number": "954-785-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W SAMPLE RD STE 204",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643547",
            "telephone_number": "954-785-0300",
            "fax_number": "954-785-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Coral Hills Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654138",
            "country_code": "US",
            "telephone_number": "954-724-3470",
            "fax_number": "954-724-3473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "JONATHAN",
        "middle_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME135343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.