Individual provider Active NPI

Hoan Kim Ma, DO

  • Family Medicine Physician
  • Coral Springs, FL
National Provider Identifier
1992383798
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS21201 Issued in FL
Practice address
7501 Wiles Rd Ste 104
Coral Springs, FL 33067-2063
Phone
(954) 755-4994
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 OS21201 FL Primary

Addresses

Primary practice location

7501 Wiles Rd Ste 104
Coral Springs, FL 33067-2063

Mailing address

8801 W Atlantic Blvd Unit 770244
Coral Springs, FL 33077-6013
Phone (954) 780-6438

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
I20241029002615 FL Practitioner - Family Practice 7810420874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7501 Wiles Rd
Suite 104
Coral Springs, FL 33067-2063
Phone (954) 755-4994

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultants of South Florida Inc Family Medicine CurrentSince Oct 14, 2024 Accepting new patients

Locations

7501 Wiles Rd
Ste 104
Coral Springs, FL 33067
Phone (954) 755-4994

Interoperability endpoints

  • Direct secure messaging: hoan.ma.1@15180.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1992383798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 W ATLANTIC BLVD UNIT 770244",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330776013",
            "telephone_number": "954-780-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "954-755-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "HOAN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS21201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.