DANIELLE NICOLAZZO (D.O.) – Dermatology Physician, NPI 1417362203

DANIELLE NICOLAZZO (D.O.) is a healthcare provider. based in Doral, Florida. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. OS13471 (FL). The NPI Number for DANIELLE NICOLAZZO (D.O.) is 1417362203

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE NICOLAZZO (D.O.)
NPI
1417362203
Phone
(786) 272-2500
Address
3470 NW 82ND AVE STE 111
Enumeration Date
30 June 2014
Last Update Date
28 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3053242110
Graduation Year
2014 (12 years ago)
PAC ID
7315281698
Group Practice PAC ID
1153367107
Professional Enrollment ID
I20181128001538
Address ID
FL331343068CO836XXBLVD502
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DANIELLE NICOLAZZO (D.O.)

  • 3470 NW 82ND AVE STE 111

    DORAL, FL 331221026

    Phone: (786) 272-2500

    Fax: (786) 272-2550

    Type: Location

  • 4308 ALTON RD STE 750

    MIAMI BEACH, FL 331404557

    Phone: (305) 532-4478

    Fax: (305) 532-9753

    Type: Location

  • 7031 SW 62nd Ave

    South Miami, FL 331434701

    Phone: (305) 284-7761

    Type: Location

  • 4308 Alton Rd Ste 750

    Miami Beach, FL 331404557

    Phone: (305) 532-4478

    Fax: (305) 532-9753

    Type: Location

  • 7031 SW 62ND AVE

    SOUTH MIAMI, FL 331434701

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 132 Open Payments records for all available years, with a total value of $10,045.

Total Amount is formed as General ($3,442) + Research ($6,604) + Ownership ($0) = $10,045.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Eli Lilly and Company ($6,604).

Total Amount

$10,045

General + Research + Ownership

Payments

132

Total payment records

General Amount

$3,442

General payments

Research Amount

$6,604

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181128001538IDermatologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3119$0
99214Established patient office or other outpatient visit, 30-39 minutes1513$0
17000Destruction of precancer skin growth, 1 growth1311$0
View full utilization report →

Insurance plans in this area (ZIP 33122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153367107View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
D E R M A T O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
-FL
D E R M A T O L O G YFL
Physician AssistantNJ
D E R M A T O L O G YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is DANIELLE NICOLAZZO (D.O.) listed with a National Provider Identifier?
Yes — DANIELLE NICOLAZZO (D.O.) has NPI 1417362203 on file in the registry.
Is DANIELLE NICOLAZZO (D.O.) shown as active in public data?
Registry records indicate DANIELLE NICOLAZZO (D.O.) maintains an active NPI.
What area of care is associated with DANIELLE NICOLAZZO (D.O.)?
DANIELLE NICOLAZZO (D.O.)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DANIELLE NICOLAZZO (D.O.) located near Doral?
DANIELLE NICOLAZZO (D.O.) currently maps to Doral, Florida in this extract.
When was this NPI issued?
Enumeration for DANIELLE NICOLAZZO (D.O.) is noted as June 30, 2014 where the registry provides it.

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