Individual provider Active NPI

Paola Teresa Chamorro, M.D.

  • Dermatology Physician
  • Doral, FL
National Provider Identifier
1821315557
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME150042 Issued in FL
Practice address
7950 NW 53Rd St Ste 104
Doral, FL 33166-4681
Phone
(305) 722-1333
Fax
(305) 668-8997
NPI assigned
Apr 20, 2010
Last updated
Nov 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME150042 FL Primary
Internal Medicine Physician 207R00000X 269204 NY

Addresses

Primary practice location

7950 NW 53Rd St Ste 104
Doral, FL 33166-4681

Mailing address

11924 Forest Hill Blvd Ste 10a-411
Wellington, FL 33414-6256
Phone (561) 425-2929

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
I20210719002215 FL Practitioner - Dermatology 3678715299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ponce School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Derm Group LLPGroup PAC ID 9335478908, 32 clinicians

Practice addresses (Care Compare)

7950 NW 53Rd St
Suite 104
Doral, FL 33166-4681
Phone (305) 722-1333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions56
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco Flores MD PA Single Specialty Current Accepting new patients
Javier Flores MD PA Single Specialty CurrentSince Jul 17, 2021 Accepting new patients
The Derm Group LLP Single Specialty CurrentSince Sep 7, 2021 Accepting new patients

Locations

7950 NW 53rd St
Ste 104
Doral, FL 33166
Phone (305) 668-8201

103400 Overseas Hwy
Ste 237
Key Largo, FL 33037
Phone (305) 361-8200

11760 SW 40th St
Ste 451
Miami, FL 33175
Phone (305) 227-9233

2601 SW 37th Ave
Ste 607
Miami, FL 33133
Phone (305) 445-5056

2601 SW 37th Ave
Ste 804
Miami, FL 33133
Phone (305) 306-9470

14601 SW 29th St
Ste 206
Miramar, FL 33027
Phone (954) 885-5551

6705 SW 57th Ave
Ste 400
South Miami, FL 33143
Phone (305) 668-8201

11924 Forest Hill Blvd
Ste 10A411
Wellington, FL 33414

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00135
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00136
  • Direct secure messaging: pchamorro47762@epicdirect.rwjbh.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1821315557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 FOREST HILL BLVD STE 10A-411",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146256",
            "telephone_number": "561-425-2929",
            "fax_number": "561-810-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 NW 53RD ST STE 104",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664681",
            "telephone_number": "305-722-1333",
            "fax_number": "305-668-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMORRO",
        "first_name": "PAOLA",
        "middle_name": "TERESA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME150042",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "269204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.