Individual provider Active NPI

Jesusa Milalaine Terrado Fortu, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Hollywood, FL
National Provider Identifier
1881678290
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
38856 Issued in KY
Practice address
1000 Joe Dimaggio Dr
Pediatric Emergency Department
Hollywood, FL 33021-5426
Phone
(954) 987-2000
NPI assigned
Nov 30, 2005
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X ME91339 FL
Pediatrics Physician 208000000X 38856 KY
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 38856 KY Primary

Addresses

Primary practice location

1000 Joe Dimaggio Dr
Pediatric Emergency Department
Hollywood, FL 33021-5426

Mailing address

12300 NW 10TH St
Plantation, FL 33323-2504
Phone (502) 889-8200

Other practice location 1

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-6000

Other identifiers 2

IdentifierTypeStateIssuer
6409176200MedicaidFL
6409176200MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfortu11904@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071009000351 FL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2860587615 Reassigns benefits to 2 organizations
I20250411000340 KY Practitioner - Pediatric Medicine 2860587615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince Feb 19, 2025 Accepting new patients
Sterling Emergency Services of Florida PA Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Sterling Emergency Services of Florida PA CurrentSince Sep 18, 2023 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Feb 19, 2025 Accepting new patients
Inphynet South Broward LLC Pediatric Emergency Medicine CurrentSince Oct 1, 2014 Accepting new patients
Norton Children's Medical Group, LLC Pediatrics Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

1100 E Market St
Louisville, KY 40206
Phone (502) 596-1000

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

Interoperability endpoints

  • Direct secure messaging: jfortu11904@mhsdirect.net

Organizations & group practices 7

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1881678290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 NW 10TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232504",
            "telephone_number": "502-889-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOE DIMAGGIO DR",
            "address_2": "PEDIATRIC EMERGENCY DEPARTMENT",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215426",
            "telephone_number": "954-987-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021821",
            "country_code": "US",
            "telephone_number": "502-629-6000",
            "fax_number": "502-852-8556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTU",
        "first_name": "JESUSA MILALAINE",
        "middle_name": "TERRADO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "FL",
            "license": "ME91339",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "38856",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "KY",
            "license": "38856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6409176200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6409176200",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfortu11904@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "1000 Joe DiMaggio Dr",
            "address_2": "Pediatric Emergency Department",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.