Organization Active NPI

David Jurkovich MD LLC

  • Cardiovascular Disease Physician
  • Pembroke Pines, FL
National Provider Identifier
1952406290
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME80911 Issued in FL
Legal business name
DAVID JURKOVICH MD LLC
Practice address
1779 N University Dr Ste 204
Pembroke Pines, FL 33024-0929
Phone
(954) 962-7200
Fax
(954) 962-5936
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
David F Jurkovich, MDNPI 1255342333
Title
Owner-President
Phone
(954) 962-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME80911 FL Primary

Addresses

Primary practice location

1779 N University Dr Ste 204
Pembroke Pines, FL 33024-0929

Mailing address

1779 N University Dr Ste 204
Pembroke Pines, FL 33024-0929
Phone (954) 962-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000148 FL Part B Supplier - Clinic/Group Practice 0143327577 Receives reassigned benefits from 2 practitioners
Practice locations: Pembroke Pines, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2053849David Jurkovich MD PLLC1779 N University Dr Ste 204, Pembroke Pines, FL 33024Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Locations

3501 Johnson St
Ste 204
Hollywood, FL 33021

2301 N University Dr
Ste 204
Pembroke Pines, FL 33024
Phone (305) 317-3680

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1952406290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 N UNIVERSITY DR STE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240929",
            "telephone_number": "954-962-7200",
            "fax_number": "954-962-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 N UNIVERSITY DR STE 204",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240929",
            "telephone_number": "954-962-7200",
            "fax_number": "954-962-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JURKOVICH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "JURKOVICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "954-962-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME80911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.