Individual provider Active NPI

Carolina E Fiamengo, M.D.

  • Pediatrics Physician
  • Delray Beach, FL
National Provider Identifier
1275851826
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME114274 Issued in FL
Practice address
285 SE 5TH Ave
Delray Beach, FL 33483-5206
Phone
(561) 272-8991
NPI assigned
May 6, 2010
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME114274 FL Primary

Addresses

Primary practice location

285 SE 5TH Ave
Delray Beach, FL 33483-5206

Mailing address

285 SE 5TH Ave
Delray Beach, FL 33483-5206

Other practice location 1

3100 E Fletcher Ave Ste 126
Tampa, FL 33613-4613
Phone (813) 467-4770

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
I20140821002814 FL Practitioner - Pediatric Medicine 8426276189 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME114274FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Dec 2, 2024 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 2, 2024 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Dec 10, 2014 Accepting new patients
Phoenix Pediatrics of Broward LLC Pediatrics CurrentSince Jun 25, 2014 Accepting new patients
Phoenix Pediatrics of Broward LLC Pediatrics Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Dec 10, 2014 Accepting new patients
Mar Medical Consultants, PA Pediatrics Past Accepting new patients
Mar Medical Consultants, PA Pediatrics PastSince Jan 1, 2015 Accepting new patients
Tampa Family Health Centers, Inc Past Accepting new patients

Locations

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

5565 Centerview Dr
Ste 107
Raleigh, NC 27606
Phone (213) 484-7111

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1275851826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SE 5TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SE 5TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835206",
            "telephone_number": "561-272-8991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 E Fletcher Ave Ste 126",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134613",
            "country_code": "US",
            "telephone_number": "813-467-4770",
            "fax_number": "813-467-4243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIAMENGO",
        "first_name": "CAROLINA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME114274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.