NPIMap

Individual provider Active NPI

Daniel Nader Daria, MD

  • Family Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1114989605
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME94898 Issued in FL
Practice address
10625 N Military TRL Ste 102
Palm Beach Gardens, FL 33410-6548
Phone
(561) 249-7626
Fax
(561) 249-7713
NPI assigned
Apr 3, 2006
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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 ME94898 FL Primary

Addresses

Primary practice location

10625 N Military TRL Ste 102
Palm Beach Gardens, FL 33410-6548

Mailing address

10625 N Military TRL Ste 102
Palm Beach Gardens, FL 33410-6548
Phone (561) 249-7626

Other identifiers 1

IdentifierTypeStateIssuer
112504200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070127000013 FL Practitioner - Family Practice 9032110408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10625 N Military Trail
Suite 102
Palm Beach Gardens, FL 33410-6548
Phone (561) 398-0797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME94898FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Care of Palm Beach, PLLC Family Medicine CurrentSince Jan 16, 2012 Accepting new patients

Locations

10625 N Military Trl
Ste 102
West Palm Beach, FL 33410
Phone (561) 249-7626

Interoperability endpoints

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

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, 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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1114989605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL STE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106548",
            "telephone_number": "561-249-7626",
            "fax_number": "561-249-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 N MILITARY TRL STE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106548",
            "telephone_number": "561-249-7626",
            "fax_number": "561-249-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARIA",
        "first_name": "DANIEL",
        "middle_name": "NADER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME94898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112504200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.