Individual provider Active NPI

Fernando Jimenez, MD

  • Cardiovascular Disease Physician
  • Coconut Creek, FL
National Provider Identifier
1871531137
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31545 Issued in FL
Practice address
3850 Coconut Creek Pkwy
Ste 3
Coconut Creek, FL 33066-1600
Phone
(954) 675-1411
Fax
(954) 938-2532
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 31545 FL Primary
Cardiovascular Disease Physician 207RC0000X ME31545 FL

Addresses

Primary practice location

3850 Coconut Creek Pkwy
Ste 3
Coconut Creek, FL 33066-1600

Mailing address

60 Compass Island
Fort Lauderdale, FL 33308-2008
Phone (954) 771-6925

Other practice location 1

7570 S Federal Hwy Ste 2
Lantana, FL 33462-6060
Phone (561) 708-0207

Other practice location 2

3652 S Seacrest Blvd
Boynton Beach, FL 33435-8662
Phone (561) 708-0207

Other practice location 3

900 54th St
West Palm Beach, FL 33407-2436
Phone (561) 708-0207

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
I20040211000603 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General PracticePractitioner - Internal Medicine 4880588748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: General Practice, Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insulinic of Florida LLCGroup PAC ID 3678941952, 2 clinicians

Practice addresses (Care Compare)

3700 Washington St
Suite 304
Hollywood, FL 33021-8258
Phone (954) 820-5860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31545FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medec Medical Care PLLC CurrentSince Apr 28, 2025 Accepting new patients
Insulinic of Florida LLC Cardiovascular Disease CurrentSince Jan 7, 2024 Accepting new patients
Kaiser Wellness Center Current Accepting new patients
Raul J Beltran CurrentSince Mar 17, 2025 Accepting new patients
Pembroke Pines Physicians Associates Inc PastSince Oct 24, 2013 Accepting new patients
Mitchell B Cohen MD PA Past Accepting new patients
Florida Neuropsychiatric Institute Inc Past Accepting new patients
Pinnacle Healthcare System Cardiovascular Disease PastSince Dec 31, 2008 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Palm Beach Counseling and Behavioral Health, Inc. Past Accepting new patients

Locations

3700 Washington St
Ste 304
Hollywood, FL 33021
Phone (954) 820-5860

1270 N Wickham Rd
Ste 9
Melbourne, FL 32935
Phone (321) 567-2211

100 NW 170th St
Ste 411
North Miami Beach, FL 33169
Phone (305) 249-5666

10967 Lake Underhill Rd
Ste 107
Orlando, FL 32825
Phone (321) 306-6014

Interoperability endpoints

  • Direct secure messaging: southflspinalneurosurgeryassociates.fernandojimenez@155523.advancedmd-direct.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1871531137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMPASS ISLAND",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333082008",
            "telephone_number": "954-771-6925",
            "fax_number": "954-938-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 COCONUT CREEK PKWY",
            "address_2": "STE 3",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330661600",
            "telephone_number": "954-675-1411",
            "fax_number": "954-938-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7570 S Federal Hwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lantana",
            "state": "FL",
            "postal_code": "334626060",
            "country_code": "US",
            "telephone_number": "561-708-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3652 S Seacrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334358662",
            "country_code": "US",
            "telephone_number": "561-708-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 54th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072436",
            "country_code": "US",
            "telephone_number": "561-708-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "FERNANDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "31545",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME31545",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.