Individual provider Active NPI

Paula Michele Thaqi, M.D.

  • Pediatrics Physician
  • Fort Lauderdale, FL
National Provider Identifier
1003885765
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME82364 Issued in FL
Practice address
780 SW 24TH St
Fort Lauderdale, FL 33315-2643
Phone
(954) 467-4700
Fax
(954) 467-4704
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME82364 FL Primary

Addresses

Primary practice location

780 SW 24TH St
Fort Lauderdale, FL 33315-2643

Mailing address

780 SW 24TH St
Fort Lauderdale, FL 33315-2643
Phone (954) 467-4700

Other identifiers 2

IdentifierTypeStateIssuer
AI032YOtherFLMEDICARE
37981OtherFLBLUE CROSS PROVIDER NUMBE

Other names 1

  • Dr. Paula Michele Silverman Former name

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
I20080213000421 FL Practitioner - Pediatric Medicine 9436249885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

Practice addresses (Care Compare)

2421 SW 6TH Ave
Ft Lauderdale Health Center
Fort Lauderdale, FL 33315-2613
Phone (954) 412-7252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82364FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Nov 14, 2012 Accepting new patients
Florida Department of Health CurrentSince Nov 14, 2012 Accepting new patients

Locations

2421 SW 6th Ave
Ft Lauderdale, FL 33315
Phone (954) 412-7252

780 SW 24th St
Ft Lauderdale, FL 33315
Phone (954) 467-4771

7205 S George Blvd
Sebring, FL 33875
Phone (863) 382-6040

Organizations & group practices 2

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1003885765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SW 24TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152643",
            "telephone_number": "954-467-4700",
            "fax_number": "954-467-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 SW 24TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152643",
            "telephone_number": "954-467-4700",
            "fax_number": "954-467-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAQI",
        "first_name": "PAULA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME82364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AI032Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "37981",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "SILVERMAN",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.