Individual provider Active NPI

Nathalie De Paz, MD

  • Nephrology Physician
  • Pembroke Pines, FL
National Provider Identifier
1114555372
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME160114 Issued in FL
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

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
120082200MedicaidFL

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
I20231201000006 FL Practitioner - NephrologyPractitioner - Internal Medicine 6204284276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care Plus, IncGroup PAC ID 2264679406, 4 clinicians

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

LicenseStateTypeSpecialty
ME160114FLMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.