Organization Active NPI

Narendra K Maheshwari MD PA

  • Adolescent Medicine (Internal Medicine) Physician
  • Pompano Beach, FL
National Provider Identifier
1861540544
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
ME0060039 Issued in FL
Legal business name
NARENDRA K MAHESHWARI MD PA
Practice address
601 E Sample Rd Ste 101
Pompano Beach, FL 33064-4443
Phone
(954) 942-9233
Fax
(954) 942-9234
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Narendra K Maheshwari, MDNPI 1588617039
Title
Medical Doctor
Phone
(954) 942-9233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X ME0060039 FL Primary

Addresses

Primary practice location

601 E Sample Rd Ste 101
Pompano Beach, FL 33064-4443

Mailing address

601 E Sample Rd Ste 101
Pompano Beach, FL 33064-4443
Phone (954) 942-9233

Other identifiers 1

IdentifierTypeStateIssuer
371360100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070607000142 FL Part B Supplier - Clinic/Group Practice 6608974118 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield Beach, FL; Ft Lauderdale, FL; Pompano Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Narendra K Maheshwari MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1861540544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-942-9233",
            "fax_number": "954-942-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD STE 101",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-942-9233",
            "fax_number": "954-942-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARENDRA K MAHESHWARI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "MAHESHWARI",
        "authorized_official_first_name": "NARENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "954-942-9233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME0060039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371360100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.