Catherine Andrea Moya Krumenacker, M.D, PH.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME168015 Issued in FL

Practice address

1101 NW 1St St
Fort Lauderdale, FL 33311-8905

Phone

(954) 761-1020

Fax

(954) 761-9983

NPI assigned

Apr 26, 2013

Last updated

Nov 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC, FL2 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

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: catherine.moyakrumenackermd.p1@direct.browardhealth.nextgenshare.com
• Direct secure messaging: cmoyakrumena@direct.iuhealth.org
• Direct secure messaging: cmoyakrumenacker44457@direct.eskenazihealth.edu

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.

• North Broward Hospital District

  dba BH Physicians North

  • Neurological Surgery Physician
  • Fort Lauderdale, FL
  • NPI 1801581129
  Medicare reassignment Care Compare group NPD
• Health Care Partners of South Carolina, Inc.

  • Federally Qualified Health Center (FQHC)
  • Conway, SC
  • NPI 1043395346
  Medicare reassignment NPD
• North Broward Hospital District

  dba Broward Health Annie L. Weaver Health Center Pharmacy

  • Community/Retail Pharmacy
  • Pompano Beach, FL
  • NPI 1699709766
  NPD
• North Broward Hospital District

  dba BHPG Mob 1625 Pulmo 610

  • Pulmonary Disease Physician
  • Fort Lauderdale, FL
  • NPI 1760200893
  NPD
• Health Care Partners of South Carolina, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marion, SC
  • NPI 1861874430
  NPD
• North Broward Hospital District

  dba Broward Health Cora E. Braynon Family Health Center Pharmacy

  • Community/Retail Pharmacy
  • Fort Lauderdale, FL
  • NPI 1134164965
  NPD (past)
• North Broward Hospital District

  dba Cdla Adult Clinic

  • Federally Qualified Health Center (FQHC)
  • Fort Lauderdale, FL
  • NPI 1134512650

  Family Medicine

  NPD (past)
• University Medical Diagnostic Associates, Inc.

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1861441537
  NPD (past)

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

• North Broward Hospital District

  dba Broward Health Medical Center

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1285662239
  Care Compare affiliation

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1922442458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-761-1020",
            "fax_number": "954-761-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NW 1ST ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333118905",
            "telephone_number": "954-761-1020",
            "fax_number": "954-761-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA KRUMENACKER",
        "first_name": "CATHERINE",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "89609",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01076704A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME168015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123885100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201176810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antoine Mourani
• Fatemeh Rhana Mousavi, MD
• John Moushati, D.M.D.
• George Farid Moussa
• Kim Mowatt, LCSW
• Jorge A Moyano, MD
• Jesse Mozeko, LMFT
• Mpartners
• MRI Scan Center LLC (MRI Scan & Imaging Centers)
• Thomas Mroz, MD

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.