Katharyn Madiwale, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 11738 Issued in FL

Practice address

350 NW 84TH Ave Ste 200a
Plantation, FL 33324-1817

Phone

(954) 424-4321

Fax

(954) 424-0765

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Associatesmd Medical Group Inc

  • Urgent Care Clinic/Center
  • Pembroke Pines, FL
  • NPI 1073141156
  NPD (past)
• Associatesmd Medical Group Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1558900472
  NPD (past)
• Crossroads Urgent Care PLLC

  • Family Medicine Physician
  • Chattanooga, TN
  • NPI 1437194222
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1922044742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "954-434-1705",
            "fax_number": "800-642-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE STE 200A",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241817",
            "telephone_number": "954-424-4321",
            "fax_number": "954-424-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIWALE",
        "first_name": "KATHARYN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 11738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006610600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "14MQ5",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven David Macchione, PSYD
• Roxana A Macdonald
• Scott W. Macdougall, M.D.
• Maclinik LLC
• Jessy Madhukar
• Adriana Patricia Madrid
• Edna Margarita Madrigal, NURSE PRACTITIONER
• Carole Magnan, B.A.
• Adriana Magrina, OTR/L
• Vishnu Mahabir

• Family Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.