Active NPI
Laura Fornos Verde, MD
- Cardiovascular Disease Physician
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2007-01329
- Practice address
- 4828 Coconut Creek Parkway
Coconut Creek, FL 33063 - Phone
- (954) 247-2168
- Fax
- (844) 501-2948
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200701329 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 2007-01329 | NC | Primary |
Addresses
Primary practice location
4828 Coconut Creek Parkway
Coconut Creek, FL 33063
Mailing address
PO Box 602381
Charlotte, NC 28260-2381
Phone (828) 586-7451
Other practice location 1
80 Healthcare Dr
Ste 201
Sylva, NC 28779-5126
Phone (828) 586-7451
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laura.verde@conviva.eclinicaldirectplus.com | Direct | |
| Direct Messaging Address | laura.verde@conviva.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136
Hospital & facility affiliations
- Holy Cross Hospital
- Vidant Edgecombe Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200701329 | NC | MD | Internal Medicine Physician |
| 2007-01329 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital, Inc | Current | Accepting new patients | |
| Holy Cross Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Mission Medical Associates Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
4725 N Federal Hwy
#401
Ft Lauderdale, FL 33308
Phone (954) 772-2136
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
Interoperability endpoints
- laura.verde@conviva.eclinicaldirectplus.com
- lverde3397483@direct.trinity-health.org
- lverde17762@direct.vidanthealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
-
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
- Cardiovascular Disease Physician
- Sylva, NC
- NPI 1326376724
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Tarboro, NC
- NPI 1699757393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1982896148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602381",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602381",
"telephone_number": "828-586-7451",
"fax_number": "828-586-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4828 COCONUT CREEK PARKWAY",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "33063",
"telephone_number": "954-247-2168",
"fax_number": "844-501-2948"
}
],
"practiceLocations": [
{
"address_1": "80 Healthcare Dr",
"address_2": "Ste 201",
"address_purpose": "LOCATION",
"city": "Sylva",
"state": "NC",
"postal_code": "287795126",
"country_code": "US",
"telephone_number": "828-586-7451",
"fax_number": "828-586-7453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERDE",
"first_name": "LAURA",
"middle_name": "FORNOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2024-07-08",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200701329",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2007-01329",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laura.verde@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2131 N State Road 7",
"city": "Margate",
"state": "FL",
"country_code": "US",
"postal_code": "330635713",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laura.verde@conviva.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4828 Coconut Creek Parkway",
"city": "Coconut Creek",
"state": "FL",
"country_code": "US",
"postal_code": "33063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.