Individual provider Active NPI

Carlos Nunez, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brecksville, OH
National Provider Identifier
1851359988
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35043041 Issued in OH
Practice address
6930 Treeline Dr
Ste G
Brecksville, OH 44141
Phone
(440) 627-2040
Fax
(440) 627-2070
NPI assigned
May 1, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35043041 OH Primary

Addresses

Primary practice location

6930 Treeline Dr
Ste G
Brecksville, OH 44141

Mailing address

6930 Treeline Dr
Ste G
Brecksville, OH 44141
Phone (440) 627-2040

Other identifiers 1

IdentifierTypeStateIssuer
0498493MedicaidOH

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
I20180807002603 FL Practitioner - Pathology 6901702000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1972
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)

2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 978-4123

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathmed Associates LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 14, 2018 Accepting new patients
Bayless Pathmark Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

3476 S University Dr
Davie, FL 33328
Phone (954) 475-4350

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

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

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 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.

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1851359988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 TREELINE DR",
            "address_2": "STE G",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "440-627-2040",
            "fax_number": "440-627-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 TREELINE DR",
            "address_2": "STE G",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "44141",
            "telephone_number": "440-627-2040",
            "fax_number": "440-627-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35043041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0498493",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.