Active NPI
Cheryl Elaine De Zayas, M.D.
- Pediatrics Physician
- Haines City, FL
National Provider Identifier
1215937545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0068296
- Practice address
- 115 S 10TH St
Haines City, FL 33844-5303 - Phone
- (863) 422-0924
- Fax
- (863) 422-0150
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0068296 | FL | Primary |
Addresses
Primary practice location
115 S 10TH St
Haines City, FL 33844-5303
Mailing address
PO Box 3302
Haines City, FL 33845-3302
Phone (863) 422-0924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377734100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068296 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ce de Zayas PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- cheryl.de.zayas.1@14865.direct.athenahealth.com
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.
-
- Pediatrics Physician
- Haines City, FL
- NPI 1568871507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215937545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3302",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338453302",
"telephone_number": "863-422-0924",
"fax_number": "863-422-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S 10TH ST",
"city": "HAINES CITY",
"state": "FL",
"postal_code": "338445303",
"telephone_number": "863-422-0924",
"fax_number": "863-422-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE ZAYAS",
"first_name": "CHERYL",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0068296",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377734100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haines City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.