Organization Active NPI

Natasha a Fajardo MD PA

  • Family Medicine Physician
  • South Miami, FL
National Provider Identifier
1003798786
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NATASHA A FAJARDO MD PA
Practice address
5995 SW 71St St Ste 403-a
South Miami, FL 33143-3531
Phone
(305) 894-7400
Fax
(305) 894-7487
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Dr. Natasha Ailime Fajardo, MDNPI 1881857506
Title
Medical Director
Phone
(786) 338-5020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5995 SW 71St St Ste 403-a
South Miami, FL 33143-3531

Mailing address

12555 SW 46TH St
Miami, FL 33175-4725
Phone (786) 338-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260205000051 FL Part B Supplier - Clinic/Group Practice 1850870346 Receives reassigned benefits from 2 practitioners
Practice locations: South Miami, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1003798786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 SW 46TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331754725",
            "telephone_number": "786-338-5020",
            "fax_number": "305-894-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 SW 71ST ST STE 403-A",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433531",
            "telephone_number": "305-894-7400",
            "fax_number": "305-894-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA A FAJARDO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "AILIME",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "786-338-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.