Individual provider Active NPI

Paola Frattaroli, M.D

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1609430644
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME165978 Issued in FL
Practice address
2230 NW 95TH St
Miami, FL 33147-2414
Phone
(305) 827-2977
Fax
(305) 820-6374
NPI assigned
Apr 25, 2019
Reactivated
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME165978 FL Primary

Addresses

Primary practice location

2230 NW 95TH St
Miami, FL 33147-2414

Mailing address

2230 NW 95TH St
Miami, FL 33147-2414
Phone (305) 827-2977

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
I20240529000913 FL Practitioner - Internal Medicine 6709228323 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME165978FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chen Neighborhood Medical Centers of South Florida LLC CurrentSince May 1, 2024 Accepting new patients
Chen Neighborhood Medical Centers of South Florida, LLC CurrentSince Jun 1, 2024 Accepting new patients
Chen Neighborhood Medical Centers of South Florida LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

3632 NW 25th Ave
Miami, FL 33142
Phone (305) 900-5888

20801 NW 2nd Ave
Miami Gardens, FL 33169

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

6037 Kimberly Blvd
North Lauderdale, FL 33068
Phone (954) 379-8994

1190 NE 125th St
North Miami, FL 33161
Phone (305) 891-7500

Organizations & group practices 3

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1609430644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472414",
            "telephone_number": "305-827-2977",
            "fax_number": "305-820-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472414",
            "telephone_number": "305-827-2977",
            "fax_number": "305-820-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATTAROLI",
        "first_name": "PAOLA",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "deactivation_date": "2019-12-09",
        "reactivation_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME165978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.