Individual provider Active NPI

Henry E Paez, M D

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1093790313
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81996 Issued in FL
Practice address
1898 SW 27TH Ave
Suite 1
Miami, FL 33145-2445
Phone
(305) 447-8777
Fax
(305) 447-8126
NPI assigned
Dec 9, 2005
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME81996 FL Primary

Addresses

Primary practice location

1898 SW 27TH Ave
Suite 1
Miami, FL 33145-2445

Mailing address

3125 Day Ave
Miami, FL 33133-5110
Phone (305) 447-8777

Other identifiers 3

IdentifierTypeStateIssuer
13041OtherFLBCBS
264312000MedicaidFL
P00414262OtherRR MCR

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
I20031120000794 FL Practitioner - Family PracticePractitioner - Emergency Medicine 2062316151 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Henry E Paez M D P aGroup PAC ID 2567553720, 2 clinicians
Family Medicine Home Visits IncGroup PAC ID 4183972151, 3 clinicians

Practice addresses (Care Compare)

1898 SW 27TH Ave
Suite 1
Miami, FL 33145-2445
Phone (305) 447-8777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81996FLMDFamily Medicine Physician
35509TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC CurrentSince Dec 9, 2019 Accepting new patients
Salus Health LLC Family Medicine CurrentSince Jul 10, 2018 Accepting new patients
Catholic Palliative Care Services, Inc. CurrentSince Sep 10, 2018 Accepting new patients
Family Medicine Home Visits Inc CurrentSince Mar 24, 2018 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Genesis Health Network, Inc Past Accepting new patients
Genesis Health Group Family Medicine Past Accepting new patients

Locations

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

6901 Yumuri St
Coral Gables, FL 33146
Phone (305) 661-0078

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

3487 NW 30th St
Lauderdale Lakes, FL 33311
Phone (954) 641-4200

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1898 SW 27th Ave
Ste 1
Miami, FL 33145
Phone (305) 447-8777

2500 SW 75th Ave
Miami, FL 33155
Phone (305) 431-0577

2525 SW 75th Ave
Miami, FL 33155
Phone (305) 260-1852

3626 NW 7th St
Miami, FL 33125
Phone (305) 305-5936

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

14875 NW 77th Ave
Ste 100
Miami Lakes, FL 33014
Phone (305) 351-7057

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

13900 NE 3rd Ct
North Miami, FL 33161
Phone (305) 893-2288

9333 SW 152nd St
Palmetto Bay, FL 33157
Phone (305) 251-2500

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

Organizations & group practices 9

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 11

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1093790313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 DAY AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335110",
            "telephone_number": "305-447-8777",
            "fax_number": "305-447-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 SW 27TH AVE",
            "address_2": "SUITE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452445",
            "telephone_number": "305-447-8777",
            "fax_number": "305-447-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "HENRY",
        "middle_name": "E",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13041",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264312000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00414262",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.