Naresh Pathak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0055176 Issued in FL

Practice address

7471 W Oakland Park Blvd
Suite 110
Lauderhill, FL 33319

Phone

(954) 748-6175

Fax

(954) 748-2072

NPI assigned

Dec 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Care Health Center II

  • Health Maintenance Organization
  • Sunrise, FL
  • NPI 1295907376
  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1528043601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 W OAKLAND PARK BLVD",
            "address_2": "SUITE 110",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-748-6175",
            "fax_number": "954-748-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 W OAKLAND PARK BLVD",
            "address_2": "SUITE 110",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "33319",
            "telephone_number": "954-748-6175",
            "fax_number": "954-748-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "NARESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0055176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266956100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park Regency Operator LLC
• Shequilia Parker, MEDICAL ASSISTANT
• Marta C Parra
• Sharon Denise Parry, RN
• Jennifer Pastoriza Morejon, RBT
• Pathema DME LLC
• Pathema RX, LLC
• Les Patterson, M.S.C.
• Peaked Physique LLC
• Kimberlee Pearson

• Internal Medicine Physician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.

Verify at the official NPI Registry.