Active NPI
Fernando Jimenez, MD
- Cardiovascular Disease Physician
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 31545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31545 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medec Medical Care PLLC | Current | Accepting new patients | |
| Insulinic of Florida LLC | Cardiovascular Disease | Current | Accepting new patients |
| Kaiser Wellness Center | Current | Accepting new patients | |
| Raul J Beltran | Current | Accepting new patients | |
| Pembroke Pines Physicians Associates Inc | Past | 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 | Past | 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
- 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.
-
dba Insulinic of Hollywood
- Endocrinology, Diabetes & Metabolism Physician
- Hollywood, FL
- NPI 1245954304
Cardiovascular Disease
-
- Clinic/Center
- Melbourne, FL
- NPI 1386234268
-
- Family Nurse Practitioner
- Orlando, FL
- NPI 1598599722
-
- Clinic/Center
- West Palm Beach, FL
- NPI 1912367384
-
- Psychiatry Physician
- Dania Beach, FL
- NPI 1265593966
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
dba Cardiac Arrhythmia Specialists
- Specialist
- Pembroke Pines, FL
- NPI 1073657623
-
- Mental Health Counselor
- West Palm Beach, FL
- NPI 1316353899
-
dba Physical Therapy Now of Davie
- Clinic/Center
- Davie, FL
- NPI 1760546295
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1225288392
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.