Individual provider Active NPI

Mariana Doval, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Wellington, FL
National Provider Identifier
1770566143
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME72281 Issued in FL
Practice address
10101 Forest Hill Blvd
Pathology Dept.
Wellington, FL 33414-6103
Phone
(561) 798-8559
Fax
(561) 798-8645
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036175455 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME72281 FL Primary

Addresses

Primary practice location

10101 Forest Hill Blvd
Pathology Dept.
Wellington, FL 33414-6103

Mailing address

2030 W McNab Rd
# 2
Ft Lauderdale, FL 33309-1002
Phone (561) 633-1000

Other practice location 1

251 E Huron St Ste 7-325
Chicago, IL 60611-2908
Phone (312) 926-3211

Other identifiers 2

IdentifierTypeStateIssuer
254170000MedicaidFL
P00380841OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060411000521 FL Practitioner - Pathology 2062421647 Reassigns benefits to 2 organizations
I20250805000667 IL Practitioner - Pathology 2062421647

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Regional Laboratories Pathology Services, LLCGroup PAC ID 9133244346, 132 clinicians

Practice addresses (Care Compare)

13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 798-6036

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 548-3639

Hospital & facility affiliations

  • HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc Current Accepting new patients
Holy Cross Hospital Inc Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2025 Accepting new patients
Pathmed Associates LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Holy Cross Hospital, Inc CurrentSince Feb 1, 2025 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Mar 23, 2015 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

4725 N Federal Hwy
#G
Ft Lauderdale, FL 33308
Phone (954) 492-5748

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1770566143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W MCNAB RD",
            "address_2": "# 2",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091002",
            "telephone_number": "561-633-1000",
            "fax_number": "561-633-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 FOREST HILL BLVD",
            "address_2": "PATHOLOGY DEPT.",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146103",
            "telephone_number": "561-798-8559",
            "fax_number": "561-798-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "251 E Huron St Ste 7-325",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112908",
            "country_code": "US",
            "telephone_number": "312-926-3211",
            "fax_number": "312-926-3127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVAL",
        "first_name": "MARIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036175455",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME72281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254170000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00380841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.