Owen G Peller, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME53245 Issued in FL

Practice address

350 NW 84TH Ave Ste 200
Plantation, FL 33324-1847

Phone

(954) 424-4321

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ekg and Echo Readers IncGroup PAC ID 4082688718, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ekg & Echo Readers Inc

  • Cardiovascular Disease Physician
  • Plantation, FL
  • NPI 1245284389
  Medicare reassignment Care Compare group NPD Authorized official
• Owen Peller MD LLC

  • Cardiovascular Disease Physician
  • Plantation, FL
  • NPI 1063666139
  Medicare reassignment NPD Authorized official
• Associatesmd Medical Group Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1558900472
  Medicare reassignment NPD
• Associatesmd Medical Group Inc

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1073141156
  NPD
• FMC Cardiology Panel LLC

  • Cardiovascular Disease Physician
  • Lauderdale Lakes, FL
  • NPI 1689629404
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Hospital Corporation of South Broward

  • General Acute Care Hospital
  • Plantation, FL
  • NPI 1063466589
  Care Compare affiliation

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1881665461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR",
            "address_2": "STE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283835",
            "telephone_number": "954-746-2012",
            "fax_number": "954-746-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241847",
            "telephone_number": "954-424-4321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 NW 70th Ave",
            "address_2": "#116",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "33317",
            "country_code": "US",
            "telephone_number": "954-581-6041",
            "fax_number": "954-581-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLER",
        "first_name": "OWEN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME53245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371831000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Pediatrix Medical Group of Florida, Inc
• Sonia Patricia Pedraza Rubiano
• Craig Allen Peller, MD
• Mindy L Pelliccio, ARNP
• Carmen Pellot
• Kirsten Kelly Pelosi, ARNP
• Pembroke Dental PLLC
• Cynthia Vanessa Penalva, LMFT

• Cardiovascular Disease Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.

Verify at the official NPI Registry.