NATHALI EIRANOVA (PA-C) – Physician Assistant, NPI 1689204729

NATHALI EIRANOVA (PA-C) is a healthcare provider. based in Miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for NATHALI EIRANOVA (PA-C) is 1689204729

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NATHALI EIRANOVA (PA-C)
NPI
1689204729
Phone
(305) 971-1210
Address
12600 SW 120TH ST STE 113
Enumeration Date
16 January 2020
Last Update Date
25 January 2024

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3054452941
Graduation Year
2019 (7 years ago)
PAC ID
4981085826
Group Practice PAC ID
7618026253
Professional Enrollment ID
I20220722002321
Address ID
FL331344924CO401XXWAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for NATHALI EIRANOVA (PA-C)

  • 12600 SW 120TH ST STE 113

    MIAMI, FL 331869116

    Phone: (305) 971-1210

    Fax: (305) 971-7710

    Type: Mailing

  • 14735 SW 36TH TER

    MIAMI, FL 331853913

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 69 Open Payments records for all available years, with a total value of $3,042.

Total Amount is formed as General ($3,042) + Research ($0) + Ownership ($0) = $3,042.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($950).

Total Amount

$3,042

General + Research + Ownership

Payments

69

Total payment records

General Amount

$3,042

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2022-07-22

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
I20220722002321IPhysician AssistantFLTBD

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 minutes7856$0
17004Destruction of precancer skin growth, 15 or more growths2924$0
11302Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm2214$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
17110Destruction of skin growth, 1-14 growths1816$0
View full utilization report →

Insurance plans in this area (ZIP 33186)

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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: 7618026253View full group profile
NameSpecialtyState
Physician AssistantFL
Dermatology, PathologyFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
-FL

Reviews

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Frequently asked questions

Where can patients find NATHALI EIRANOVA (PA-C)'s NPI?
You can confirm NATHALI EIRANOVA (PA-C) with NPI 1689204729; it appears in the national provider directory.
Is NATHALI EIRANOVA (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NATHALI EIRANOVA (PA-C) work in?
You can think of NATHALI EIRANOVA (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is NATHALI EIRANOVA (PA-C)'s primary listing?
We display Miami, Florida because that is what the record indicates for NATHALI EIRANOVA (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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