NATASHA A FAJARDO MD PA
NPI 1003798786
Family Medicine in South Miami, FL

Active since July 23, 2025CLIA 10D2117878 · Waiver
5995 SW 71ST ST STE 403-A, SOUTH MIAMI, FL 33143(305) 894-7400(305) 894-7487 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Natasha A Fajardo Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATASHA A FAJARDO MD PA (NPI 1003798786) is a healthcare organization registered as a family medicine in South Miami, Florida and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through August 24, 2028 and lists Natasha Ailime Fajardo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1003798786
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNATASHA A FAJARDO MD PA
Location Address5995 SW 71ST ST STE 403-ASouth Miami, FL 33143-3531
Mailing Address12555 Sw 46th StMiami, FL 33175-4725 · (786) 338-5020 · Fax (305) 894-7400
Fax(305) 894-7487
Organization SubpartNo
Authorized OfficialNatasha Ailime FajardoMedical Director · (786) 338-5020
Enumeration DateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1003798786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5995 SW 71ST ST STE 403-A, South Miami, FL 33143

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natasha A Fajardo Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Natasha A Fajardo MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1881857506
5995 SW 71ST ST STE 403
South Miami, FL 33143
(305) 894-7400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790494441
51 SW 135TH AVE
Miami, FL 33184
(305) 934-4992
✔ PECOS✔ Accepts Medicare8.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2117878

Natasha A Fajardo MD LLC · South Miami, FL
Active · expires Aug 24, 2028
CLIA Number10D2117878
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2026
Certificate Expiration DateAugust 24, 2028
Laboratory DirectorNatasha A. Fajardo
Laboratory Phone(305) 865-6926
Laboratory LocationNatasha A Fajardo MD LLC5995 SW 71st Street Ste 403-A, South Miami, FL 33143
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Natasha A Fajardo MD PA's NPI number?

The NPI number for Natasha A Fajardo MD PA is 1003798786. It was assigned to this organization in the NPPES registry on July 23, 2025.

Where is Natasha A Fajardo MD PA located?

Natasha A Fajardo MD PA is located at 5995 SW 71st St Ste 403-A, South Miami, FL 33143. The listed phone number is (305) 894-7400.

What is Natasha A Fajardo MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Natasha A Fajardo MD PA enrolled in Medicare?

Yes. Natasha A Fajardo MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Natasha A Fajardo MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Natasha A Fajardo MD PA, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Natasha A Fajardo MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2117878) is associated with this NPI, valid through August 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Natasha A Fajardo MD PA accept?

Health plans from Ambetter Health and Ambetter of Alabama list Natasha A Fajardo MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Natasha A Fajardo MD PA was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.