Individual provider Active NPI

Karen Paz, P.A.

  • Physician Assistant
  • Palm Bay, FL
National Provider Identifier
1023254240
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9104755 Issued in FL
Practice address
20 San Filippo Dr SE
Palm Bay, FL 32909-2200
Phone
(321) 725-8300
Fax
(321) 725-1555
NPI assigned
Dec 17, 2008
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9104755 FL Primary

Addresses

Primary practice location

20 San Filippo Dr SE
Palm Bay, FL 32909-2200

Mailing address

20 San Filippo Dr SE
Palm Bay, FL 32909-2200
Phone (321) 725-8300

Other identifiers 1

IdentifierTypeStateIssuer
PA 9104755OtherFLSTATE LICENSURE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090821000675 FL Practitioner - Physician Assistant 6103807862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 San Filippo Dr SE
Palm Bay, FL 32909-2200
Phone (321) 752-4811

13050 US Hwy 1
Sebastian, FL 32958-3733
Phone (772) 589-1995

20 San Filippo Dr SE
Palm Bay, FL 32909-2200
Phone (321) 725-8300

215 Cone Rd
Merritt Island, FL 32952-3114
Phone (561) 589-1995

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9104755FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Centers of Brevard Inc CurrentSince May 1, 2022 Accepting new patients

Locations

1430 Pine St
Melbourne, FL 32901
Phone (321) 952-0898

2290 W Eau Gallie Blvd
Melbourne, FL 32935
Phone (321) 435-1505

1430 Pine St
Ste 201
Melbourne, FL 32901

2290 W Eau Gallie Blvd
Ste 202
Melbourne, FL 32935
Phone (321) 254-4776

215 Cone Rd
Merritt Island, FL 32952
Phone (561) 589-1995

10 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 752-4811

20 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 725-8300

1048 Harvin Way
Rockledge, FL 32955
Phone (321) 636-2111

1038 Harvin Way
Ste 120
Rockledge, FL 32955
Phone (321) 636-2111

13050 US Highway 1
Sebastian, FL 32958
Phone (561) 589-1995

Interoperability endpoints

  • Direct secure messaging: karen.paz@ora.ikm.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1023254240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SAN FILIPPO DR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329092200",
            "telephone_number": "321-725-8300",
            "fax_number": "321-725-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SAN FILIPPO DR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329092200",
            "telephone_number": "321-725-8300",
            "fax_number": "321-725-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "KAREN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9104755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "PA 9104755",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.