NPIMap

Organization Active NPI

Loyal Medical Group Inc

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1922787688
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOYAL MEDICAL GROUP INC
Practice address
8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346
Phone
(954) 335-6925
Fax
(954) 400-3550
NPI assigned
Jul 11, 2023
Last updated
Mar 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Mrs. Ilit Hanna Osher
Title
President
Phone
(954) 335-6925

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

8395 W Oakland Park Blvd Ste C
Sunrise, FL 33351-7346

Mailing address

8391 W Oakland Park Blvd
Sunrise, FL 33351-7307
Phone (954) 335-6925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240313003504 FL Part B Supplier - Clinic/Group Practice 4880030733 Receives reassigned benefits from 8 practitioners
Practice locations: Sunrise, FL

National Provider Directory

National Provider Directory

Locations

8391 W Oakland Park Blvd
Sunrise, FL 33351
Phone (954) 335-6925

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1922787688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 W OAKLAND PARK BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517307",
            "telephone_number": "954-335-6925",
            "fax_number": "954-400-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD STE C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517346",
            "telephone_number": "954-335-6925",
            "fax_number": "954-400-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "OSHER",
        "authorized_official_first_name": "ILIT",
        "authorized_official_middle_name": "HANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-335-6925",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.