Individual provider Active NPI

Laura Fornos Verde, MD

  • Cardiovascular Disease Physician
  • Coconut Creek, FL
National Provider Identifier
1982896148
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2007-01329 Issued in NC
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

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000069 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012004278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

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 Hospital, Ft Lauderdale, FL, CCN 100073
  • Vidant Edgecombe Hospital Hospital, Tarboro, NC, CCN 340107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200701329NCMDInternal Medicine Physician
2007-01329NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Nov 1, 2024 Accepting new patients
Holy Cross Hospital Inc Internal Medicine CurrentSince Nov 1, 2024 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

  • Direct secure messaging: laura.verde@conviva.eclinicaldirectplus.com
  • Direct secure messaging: lverde3397483@direct.trinity-health.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.