DR. ANGELA PEDRAZA M.D.
NPI 1710987573
Specialist in West Palm Beach, FL

Q: What is Angela Pedraza's NPI number?

The NPI number for Angela Pedraza is 1710987573. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Q: What is Angela Pedraza's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Angela Pedraza enrolled in Medicare?

No. Angela Pedraza has opted out of Medicare through July 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Angela Pedraza was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 22, 2005Opted out of Medicare · through Jul 11, 2027

1645 PALM BEACH LAKES BLVD STE 1200, WEST PALM BEACH, FL 33401(561) 687-2111(561) 687-1777 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Angela Pedraza M.d. NPPES

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

DR. ANGELA PEDRAZA M.D. (NPI 1710987573) is an individual specialist in West Palm Beach, Florida, licensed in Florida (ME0052121) and active in the NPI registry since July 2005. She has opted out of Medicare through July 11, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710987573

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. ANGELA PEDRAZACredential: M.D.

Location Address1645 PALM BEACH LAKES BLVD STE 1200West Palm Beach, FL 33401-2214

Mailing Address1645 Palm Beach Lakes Blvd Ste 1200West Palm Beach, FL 33401-2214 · (561) 687-2111 · Fax (561) 687-1777

Phone(561) 687-2111

Fax(561) 687-1777

Sole ProprietorYes

Enumeration DateJuly 22, 2005

Last NPPES UpdateAugust 2, 2023

NPPES CertifiedAugust 2, 2023

✔ NPI 1710987573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME0052121

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1645 PALM BEACH LAKES BLVD STE 1200, West Palm Beach, FL 33401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Angela Pedraza M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 11, 2013 through July 11, 2027.

Opt-Out Effective DateJuly 11, 2013

Opt-Out In Effect ThroughJuly 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

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