Individual provider Active NPI

Elsa Pichardo-Matos, MD

  • Family Medicine Physician
  • Sunrise, FL
National Provider Identifier
1972516656
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0040800 Issued in FL
Practice address
6929 Sunset Strip
Sunset Strip Medical Center
Sunrise, FL 33313
Phone
(954) 578-0200
Fax
(954) 578-0050
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0040800 FL Primary

Addresses

Primary practice location

6929 Sunset Strip
Sunset Strip Medical Center
Sunrise, FL 33313

Mailing address

6929 Sunset Strip
Sunrise, FL 33313-2845
Phone (954) 578-0200

Other identifiers 2

IdentifierTypeStateIssuer
425168MedicaidFL
ME0040800OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1972516656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333132845",
            "telephone_number": "954-578-0200",
            "fax_number": "954-578-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 SUNSET STRIP",
            "address_2": "SUNSET STRIP MEDICAL CENTER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-578-0200",
            "fax_number": "954-578-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHARDO-MATOS",
        "first_name": "ELSA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0040800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425168",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME0040800",
            "state": "FL"
        }
    ],
    "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 Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.