Active NPI
Nathalie De Paz, MD
- Nephrology Physician
- Pembroke Pines, FL
National Provider Identifier
1114555372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME160114
- Practice address
- 1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718 - Phone
- (954) 228-8180
- Fax
- (954) 228-8183
- NPI assigned
- Mar 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME160114 | FL | Primary |
Addresses
Primary practice location
1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718
Mailing address
1 SW 129TH Ave Ste 405
Pembroke Pines, FL 33027-1718
Phone (954) 228-8180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120082200 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 SW 129TH Ave
Suite 405
Pembroke Pines, FL 33027-1718
Phone (954) 228-8180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160114 | FL | MD | Nephrology Physician |
Interoperability endpoints
- nathalie.depaz@hca4.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Nephrology Physician
- Pembroke Pines, FL
- NPI 1881934347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1114555372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SW 129TH AVE STE 405",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271718",
"telephone_number": "954-228-8180",
"fax_number": "954-228-8183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SW 129TH AVE STE 405",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330271718",
"telephone_number": "954-228-8180",
"fax_number": "954-228-8183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE PAZ",
"first_name": "NATHALIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-31",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME160114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120082200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.