1. Home
  2. Directory
  3. Florida
  4. Hallandale Beach
  5. Physician Assistant
  6. NPI Profile

ODALYS MEDEROS PA-C
NPI 1497058358
Physician Assistant in Hallandale Beach, FL

Active since December 15, 2010PECOS Enrolled
1770 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009(954) 458-2572(954) 354-8151 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odalys Mederos Pa-c NPPES

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

ODALYS MEDEROS PA-C (NPI 1497058358) is an individual physician assistant in Hallandale Beach, Florida, licensed in Florida (PA9105763) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497058358
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameODALYS MEDEROSCredential: PA-C
Location Address1770 E HALLANDALE BEACH BLVDHallandale Beach, FL 33009-4611
Mailing Address1770 E Hallandale Beach BlvdHallandale Beach, FL 33009-4611 · (954) 458-2572 · Fax (954) 354-8151
Phone(954) 458-2572
Fax(954) 354-8151
Sole ProprietorYes
Enumeration DateDecember 15, 2010
Last NPPES UpdateOctober 21, 2015
✔ NPI 1497058358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9105763
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1770 E HALLANDALE BEACH BLVD, Hallandale Beach, FL 33009
Open in Google Maps ↗

Other Identifiers 1

Medicare PINEM409FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odalys Mederos Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ALEXANDER DE LA CRUZ ARNP
Nurse Practitioner (Family)
1770 E HALLANDALE BEACH BLVD
HALLANDALE BEACH, FL 33009
Broward County (954) 458-2572

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 Odalys Mederos's NPI number?

The NPI number for Odalys Mederos is 1497058358. It was assigned to this individual provider in the NPPES registry on December 15, 2010.

Where is Odalys Mederos located?

Odalys Mederos practices at 1770 E Hallandale Beach Blvd, Hallandale Beach, FL 33009. The listed phone number is (954) 458-2572.

What is Odalys Mederos's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Odalys Mederos enrolled in Medicare?

Yes. Odalys Mederos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Odalys Mederos was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.