Individual provider Active NPI

Madelyn Paredes, M.D.

  • Family Medicine Physician
  • Palm Springs, FL
National Provider Identifier
1093874174
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME98317 Issued in FL
Practice address
3015 S Congress Ave Ste 4
Palm Springs, FL 33461-2111
Phone
(561) 838-7785
Fax
(561) 631-8513
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 ME98317 FL Primary

Addresses

Primary practice location

3015 S Congress Ave Ste 4
Palm Springs, FL 33461-2111

Mailing address

3015 S Congress Ave Ste 4
Palm Springs, FL 33461-2111
Phone (561) 838-7785

Other identifiers 1

IdentifierTypeStateIssuer
31067OtherFLBCBS

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
I20080702000349 FL Practitioner - Family Practice 6800968140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3015 S Congress Ave
Suite 4
Palm Springs, FL 33461-2111
Phone (561) 838-7785

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME98317FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime MD LLC Family Medicine CurrentSince Mar 27, 2013 Accepting new patients
Madelyn Paredes MD PA Family Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

3015 S Congress Ave
Ste 4
Palm Springs, FL 33461
Phone (561) 838-7785

3144 S Congress Ave
Ste B
Palm Springs, FL 33461

1650 S Congress Ave
Ste B
Palm Springs, FL 33461

10115 Forest Hill Blvd
Ste 102
Wellington, FL 33414
Phone (561) 967-0101

3540 Forest Hill Blvd
Ste 205
West Palm Beach, FL 33406
Phone (561) 770-1310

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHGADD/Endpoint/BHGADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHGADD

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 1

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1093874174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE STE 4",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-838-7785",
            "fax_number": "561-631-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE STE 4",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-838-7785",
            "fax_number": "561-631-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREDES",
        "first_name": "MADELYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME98317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31067",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.