Organization Active NPI

Madelyn Paredes MD PA

  • Family Medicine Physician
  • Palm Springs, FL
National Provider Identifier
1659857407
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MADELYN PAREDES MD PA
Practice address
3015 S Congress Ave Ste 4
Palm Springs, FL 33461-2111
Phone
(561) 838-7785
Fax
(561) 631-8513
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Madelyn Paredes, MDNPI 1093874174
Title
President
Phone
(561) 838-7785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3015 S Congress Ave Ste 4
Palm Springs, FL 33461-2111

Mailing address

3015 S Congress Ave Ste 4
Palm Springs, FL 33461-2111
Phone (561) 838-7785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190312001615 FL Part B Supplier - Clinic/Group Practice 2567701451 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2182797Madelyn Paredes MD PA3015 S Congress Ave Suite 4, Palm Springs, FL 33461Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

Locations

3015 S Congress Ave
Ste 4
Palm Springs, FL 33461
Phone (561) 838-7785

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1659857407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE STE 4",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-838-7785",
            "fax_number": "561-631-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S CONGRESS AVE STE 4",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612111",
            "telephone_number": "561-838-7785",
            "fax_number": "561-631-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELYN PAREDES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-838-7785",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.