Individual provider Active NPI

Danielle Katz Squires, M.D.

  • Pediatrics Physician
  • Palmetto Bay, FL
National Provider Identifier
1851680912
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME119652 Issued in FL
Practice address
8750 SW 144TH St
Palmetto Bay, FL 33176-7296
Phone
(305) 253-5585
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME119652 FL Primary

Addresses

Primary practice location

8750 SW 144TH St
Palmetto Bay, FL 33176-7296

Mailing address

8750 SW 144TH St
Suite 100
Palmetto Bay, FL 33176-7296
Phone (305) 608-1212

Other names 1

  • Danielle Katz Former name

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
I20140922000051 FL Practitioner - Pediatric Medicine 1759500937 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Pediatrics CurrentSince Sep 1, 2014 Accepting new patients

Locations

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

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

13101 S Dixie Hwy
Ste 320
Pinecrest, FL 33156
Phone (305) 253-5585

13101 S Dixie Hwy
Pinecrest, FL 33156
Phone (786) 467-5765

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1851680912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "address_2": "SUITE 100",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-608-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 SW 144TH ST",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767296",
            "telephone_number": "305-253-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "DANIELLE",
        "middle_name": "KATZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME119652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "KATZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palmetto Bay, FL

Sources for this page

Verify at the official NPI Registry.