Organization Active NPI

Sunset Strip Medical Center, Inc

  • Internal Medicine Physician
  • Sunrise, FL
National Provider Identifier
1881607562
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
425168 Issued in FL
Legal business name
SUNSET STRIP MEDICAL CENTER, INC
Practice address
4269 NW 88TH Ave
Sunrise, FL 33351-6044
Phone
(954) 578-0200
Fax
(954) 578-0050
NPI assigned
Aug 14, 2006
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mr. Derwin Ashley Westerburger
Title
President
Phone
(954) 578-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 425168 FL Primary

Addresses

Primary practice location

4269 NW 88TH Ave
Sunrise, FL 33351-6044

Mailing address

4269 NW 88TH Ave
Sunrise, FL 33351-6044
Phone (954) 578-0200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250107000484 FL Part B Supplier - Clinic/Group Practice 5395635684 Receives reassigned benefits from 5 practitioners
Practice locations: Sunrise, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1106478Sunset Strip Medical Center4269 NW 88TH Ave, Sunrise, FL 33351Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

Locations

6751 Sunset Strip
Sunrise, FL 33313
Phone (305) 226-4775

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1881607562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4269 NW 88TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516044",
            "telephone_number": "954-578-0200",
            "fax_number": "954-578-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4269 NW 88TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516044",
            "telephone_number": "954-578-0200",
            "fax_number": "954-578-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET STRIP MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "WESTERBURGER",
        "authorized_official_first_name": "DERWIN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-578-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "425168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.