Individual provider Active NPI

Barry Harris, M.D.

  • Cardiovascular Disease Physician
  • Hollywood, FL
National Provider Identifier
1922054170
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 48932 Issued in FL
Practice address
1150 N 35TH Ave
Suite 605
Hollywood, FL 33021-5424
Phone
(954) 965-4900
Fax
(954) 981-4659
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME 48932 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave
Suite 605
Hollywood, FL 33021-5424

Mailing address

1150 N 35TH Ave
Suite 605
Hollywood, FL 33021-5424
Phone (954) 965-4900

Other identifiers 1

IdentifierTypeStateIssuer
048534900MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000474 FL Practitioner - Cardiovascular Disease (Cardiology) 1759314180 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ekg Associates IncGroup PAC ID 8527956549, 36 clinicians
Cardiology and Neurology Associates IncGroup PAC ID 1759364003, 25 clinicians

Practice addresses (Care Compare)

1150 N 35 Ave
Suite 240
Hollywood, FL 33021-5424
Phone (954) 842-2577

703 N Flamingo Rd
Ekg Readers Panel
Pembroke Pines, FL 33028-1006
Phone (954) 726-1808

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone (954) 962-9650

Hospital & facility affiliations

  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 48932FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Ekg Associates PA Cardiovascular Disease CurrentSince Jan 1, 2001 Accepting new patients
Ekg Associates Inc Cardiovascular Disease CurrentSince Jan 31, 2002 Accepting new patients
Cardiology & Neurology Associates Inc Cardiovascular Disease CurrentSince May 5, 2010 Accepting new patients
Cardiovascular Consultants of South Browardpllc Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
Hollywood Medical Center Ekg Associates PA Cardiovascular Disease CurrentSince Oct 1, 2009 Accepting new patients
Luis F Tami PA Cardiovascular Disease Past Accepting new patients
Integrated Care LLC Cardiovascular Disease Past Accepting new patients

Locations

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

1150 N 35th Ave
Ste 240
Hollywood, FL 33021
Phone (954) 362-3426

7777 Davie Road Ext
Ste 100B
Hollywood, FL 33024
Phone (954) 354-2600

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

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

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1922054170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 605",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-965-4900",
            "fax_number": "954-981-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 605",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-965-4900",
            "fax_number": "954-981-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BARRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 48932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048534900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.