Active NPI
Matthew C Avery, MD
- Orthopaedic Surgery Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME132158
- Practice address
- 1150 N 35TH Ave Ste 130
Hollywood, FL 33021-5424 - Phone
- (954) 265-7700
- Fax
- (954) 893-3799
- NPI assigned
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME132158 | FL | Primary |
| Orthopaedic Trauma Physician | 207XX0801X | 2016006394 | MO | |
| Orthopaedic Trauma Physician | 207XX0801X | ME132158 | FL |
Addresses
Primary practice location
1150 N 35TH Ave Ste 130
Hollywood, FL 33021-5424
Mailing address
2900 Corporate Way
Door D
Miramar, FL 33025-3925
Phone (954) 276-5685
Other practice location 1
2122 W Cypress Creek Rd Ste 220
Ft Lauderdale, FL 33309-1868
Phone (954) 264-7700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mavery171572@MHSDIRECT.NET | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients |
Locations
2122 W Cypress Creek Rd
Ste 220
Ft Lauderdale, FL 33309
Phone (954) 265-7700
1150 N 35th Ave
Ste 130
Hollywood, FL 33021
Phone (954) 265-7700
1150 N 35th Ave
Ste 600
Hollywood, FL 33021
Phone (954) 265-5969
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000
Interoperability endpoints
- mavery171572@mhsdirect.net
Organizations & group practices 4
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Hollywood, FL
- NPI 1174942783
-
- Critical Care Medicine (Internal Medicine) Physician
- Hollywood, FL
- NPI 1609884154
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Trauma Surgery Physician
- Hollywood, FL
- NPI 1659389161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1891085668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 CORPORATE WAY",
"address_2": "DOOR D",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253925",
"telephone_number": "954-276-5685",
"fax_number": "954-985-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 35TH AVE STE 130",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330215424",
"telephone_number": "954-265-7700",
"fax_number": "954-893-3799"
}
],
"practiceLocations": [
{
"address_1": "2122 W Cypress Creek Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333091868",
"country_code": "US",
"telephone_number": "954-264-7700",
"fax_number": "954-276-0435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVERY",
"first_name": "MATTHEW",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-14",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME132158",
"primary": true
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MO",
"license": "2016006394",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "FL",
"license": "ME132158",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mavery171572@MHSDIRECT.NET",
"affiliation": "N",
"endpointDescription": "MHS DSM",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2122 W Cypress Creek Rd Ste 220",
"city": "Ft Lauderdale",
"state": "FL",
"country_code": "US",
"postal_code": "333091868",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.