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NPISignal

Individual Healthcare Provider

Roman Yusupov, MD

NPI Record: ActiveMedical Genetics — Clinical Genetics (M.D.)
NPI1972703676
Hollywood, Florida

Provider's NPPES record last updated: March 16, 2021

Overview

Entity Type
Individual Healthcare Provider
NPI
1972703676
Primary Specialty
Medical Genetics — Clinical Genetics (M.D.)
Practice Location
Hollywood, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:38 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Medical Genetics

    Clinical Genetics (M.D.)

    Allopathic & Osteopathic Physicians

    Primary

    A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

    Taxonomy code 207SG0201X

Provider-Reported License Information

Medical Genetics (Florida)
ME 107047
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1131 N 35th Ave Fl 2

Hollywood, Florida 33021-5403

Phone: (954) 265-6319

Additional Practice Location

3377 S State Rd 7

Suite 100

Wellington, Florida 33449

Phone: (561) 341-7000

Fax: (561) 784-7098

Additional Practice Location

4651 Sheridan St Ste 150

Hollywood, Florida 33021-3443

Phone: (954) 265-6331

Fax: (954) 893-6244

Record Information

Enumeration Date
July 20, 2007
Provider's NPPES Record Last Updated
March 16, 2021
Certification Date
March 16, 2021
NPISignal NPPES Dataset
August 2026

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