Individual provider Active NPI

Hiromi Chu Paban, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1093414393
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024749 Issued in FL
Practice address
5200 NE 2ND Ave FL 3
Miami, FL 33137-2706
Phone
(305) 762-3883
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024749 FL Primary

Addresses

Primary practice location

5200 NE 2ND Ave FL 3
Miami, FL 33137-2706

Mailing address

17855 Dallas Pkwy Ste 200
Dallas, TX 75287-6857
Phone (346) 376-1702

Other identifiers 2

IdentifierTypeStateIssuer
APRN11024749OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
F02230193OtherFLAMERICAN ACADEMY NURSE PRACTITIONER

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
I20230425001410 FL Practitioner - Nurse Practitioner 7719342831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seasons Medical Group of Florida PAGroup PAC ID 0941451314, 44 clinicians

Practice addresses (Care Compare)

5200 NE 2ND Ave
FL 3
Miami, FL 33137-2706
Phone (305) 762-3883

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.26 of 100Reported as group
Quality
60.1
Improvement activities
40
Cost
80.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11024749FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Hospice & Palliative Care of Broward Florida LLC CurrentSince Mar 20, 2023 Accepting new patients
Seasons Medical Group of Florida PA CurrentSince Mar 20, 2023 Accepting new patients

Locations

1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900

5200 NE 2nd Ave
Miami, FL 33137
Phone (305) 762-1387

5200 NE 2nd Ave
Fl 3
Miami, FL 33137
Phone (305) 762-3883

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

1200 S Pine Island Rd
Ste 350
Plantation, FL 33324
Phone (305) 223-2000

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

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.

Hospital & facility affiliations 2

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1093414393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17855 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876857",
            "telephone_number": "346-376-1702",
            "fax_number": "224-532-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE FL 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-762-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU PABAN",
        "first_name": "HIROMI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "APRN11024749",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY NURSE PRACTITIONER",
            "identifier": "F02230193",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.