ANGEL D TABUYO-MARTIN (MD) – Obstetrics & Gynecology Physician, NPI 1003293523
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
110 GYNECOLOGICAL ONCOLOGY in FL
Provider Addresses for ANGEL D TABUYO-MARTIN (MD)
1475 NW 12TH AVE
MIAMI, FL 331361002
Phone: (305) 243-3223
Type: Mailing
3400 DATA DR
RANCHO CORDOVA, CA 956707956
Phone:
Type: Mailing
3301 C ST STE 550
SACRAMENTO, CA 958163386
Phone: (916) 556-3164
Fax: (916) 733-5920
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201015001523 | I | Obstetrics/Gynecology | FL | TBD |
| I20230825001304 | I | Gynecological Oncology | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 33136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| Diagnostic Radiology | CA | |
| - | CA |
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