Individual provider Active NPI

Annette Karen Pelaez, MD

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1730163767
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME049565 Issued in FL
Practice address
8900 SW 117TH Ave
#202B
Miami, FL 33186-2175
Phone
(305) 630-4100
Fax
(305) 275-6450
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME049565 FL Primary

Addresses

Primary practice location

8900 SW 117TH Ave
#202B
Miami, FL 33186-2175

Mailing address

8900 SW 117TH Ave
#202B
Miami, FL 33186-2175
Phone (305) 630-4100

Other identifiers 1

IdentifierTypeStateIssuer
ME049565OtherFLMEDICAL LICENSE

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
I20040518000600 FL Practitioner - Obstetrics/Gynecology 4385634534 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME049565FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince Feb 1, 2004 Accepting new patients

Locations

8900 SW 117th Ave
Ste B202
Miami, FL 33186
Phone (305) 630-4100

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

7400 SW 87th Ave
Ste 120B
Miami, FL 33173
Phone (305) 595-4425

8900 SW 117th Ave
Ste 207B
Miami, FL 33186
Phone (305) 274-6002

Organizations & group practices 1

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730163767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 SW 117TH AVE",
            "address_2": "#202B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862175",
            "telephone_number": "305-630-4100",
            "fax_number": "305-275-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 SW 117TH AVE",
            "address_2": "#202B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862175",
            "telephone_number": "305-630-4100",
            "fax_number": "305-275-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAEZ",
        "first_name": "ANNETTE",
        "middle_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME049565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME049565",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.