Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roman Yusupov, MD

Individual provider Clinical Genetics (M.D.) Physician · NPI 1972703676

Roman Yusupov, MD is a Pediatric Medicine in Hollywood, Florida. Qualified in 1997, 29 years ago. Practices with South Broward Hospital District, a 665-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1131 N 35th Ave Fl 2
Hollywood, FL 33021-5403
Phone: (954) 265-6319
Fax: (954) 276-0166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4651 Sheridan St Ste 150, Hollywood, FL 33021-3443 — (954) 265-6331
  • 3377 S State Rd 7, Wellington, FL 33449 — (561) 341-7000

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence ME 107047 (FL)

Record details

NPI number1972703676
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2007
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice South Broward Hospital District — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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