Roodlyne Kimberly Antenor, PA-C
NPI 1871369108ActiveIndividual· Physician Assistant· Hollywood, FL
Physician Assistant (PA-C) with South Broward Hospital District, practicing in Hollywood, Florida. Medicare paid $2,273 for services to 22 patients in 2024. Lists Memorial Hospital Miramar and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1871369108 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Nov 28, 2023 |
| Last updated in NPPES | May 1, 2026 |
| Certified by provider | May 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 22 |
|---|---|
| Services billed | 45 across 8 procedure codes |
| Paid by Medicare | $2,273 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- South Broward Hospital DistrictHollywood, FL · 674 clinicians
Hospital affiliations
- Memorial Hospital MiramarMiramar, FL
- Memorial Hospital WestPembroke Pines, FL
- Memorial Regional HospitalHollywood, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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