DR. ELIE FEGAHLI (MD) – Internal Medicine Physician, NPI 1013545300

DR. ELIE FEGAHLI (MD) is a healthcare provider. based in Hudson, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME157865 (FL). The NPI Number for DR. ELIE FEGAHLI (MD) is 1013545300

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIE FEGAHLI (MD)
NPI
1013545300
Phone
(727) 819-2966
Address
14000 FIVAY RD
Enumeration Date
31 March 2020
Last Update Date
6 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522343050
Graduation Year
2019 (7 years ago)
PAC ID
4183061096
Group Practice PAC ID
5890155279
Professional Enrollment ID
I20240327000241
Address ID
FL326056401GA817XXTERX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for DR. ELIE FEGAHLI (MD)

  • 14000 FIVAY RD

    HUDSON, FL 346677103

    Phone: (727) 819-2966

    Fax: (727) 819-2928

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2023-07-28 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($102).

Total Amount

$123

General + Research + Ownership

Payments

2

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-28

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: 2024-03-27

PECOS data refreshed: 2026-06-15

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
I20240327000241IInternal MedicineFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34667)

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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: 5890155279View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerVA
Nurse PractitionerFL
Geriatric MedicineFL
Nurse PractitionerFL
Nurse PractitionerCA
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Where can patients find DR. ELIE FEGAHLI (MD)'s NPI?
You can confirm DR. ELIE FEGAHLI (MD) with NPI 1013545300; it appears in the national provider directory.
Does this profile mean DR. ELIE FEGAHLI (MD) is currently active?
Yes — DR. ELIE FEGAHLI (MD) appears active in the national provider directory.
What does DR. ELIE FEGAHLI (MD) treat or focus on?
Patients typically see DR. ELIE FEGAHLI (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. ELIE FEGAHLI (MD)'s primary listing?
We display Hudson, Florida because that is what the record indicates for DR. ELIE FEGAHLI (MD).
How can I contact DR. ELIE FEGAHLI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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