DAVID PORUDOMINSKY (MD) – Surgery Physician, NPI 1013993500

DAVID PORUDOMINSKY (MD) is a healthcare provider. based in Margate, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ME0045569 (FL). The NPI Number for DAVID PORUDOMINSKY (MD) is 1013993500

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DAVID PORUDOMINSKY (MD)
NPI
1013993500
Phone
(954) 975-0350
Address
2825 N STATE RD 7
Enumeration Date
16 December 2005
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9543443000
Graduation Year
1976 (50 years ago)
PAC ID
4880687433
Group Practice PAC ID
5799881660
Professional Enrollment ID
I20040408001053
Address ID
FL330654108CO3000XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for DAVID PORUDOMINSKY (MD)

  • State Road 7, Margate, Broward County, Florida, 33063, United States

    STE 300

    MARGATE, FL 33063

    Phone: (954) 975-0350

    Fax: (954) 975-3465

    Type: Mailing

  • 2901 CORAL HILLS DR STE 370

    CORAL SPRINGS, FL 330654146

    Phone: (954) 975-0350

    Fax: (954) 975-3465

    Type: Mailing

  • State Road 7, Margate, Broward County, Florida, 33067-3176, United States

    STE 300

    MARGATE, FL 330635737

    Phone: (954) 975-0350

    Fax: (954) 975-3465

    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: 2004-04-08

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
I20040408001053IGeneral SurgeryFLTBD

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 minutes4435$0
99214Established patient office or other outpatient visit, 30-39 minutes3127$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 33063)

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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: 5799881660View full group profile
NameSpecialtyState
Vascular Surgery, General SurgeryFL
-FL
General SurgeryFL
General SurgeryFL
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementNY
Colorectal Surgery (Proctology)FL
General Surgery, Colorectal Surgery (Proctology)FL
General SurgeryFL
Internal Medicine, HospitalistFL
Physician AssistantIL

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Frequently asked questions

What is the standard ID for DAVID PORUDOMINSKY (MD) in the U.S.?
In the U.S., DAVID PORUDOMINSKY (MD) is identified by NPI 1013993500.
Is DAVID PORUDOMINSKY (MD)'s NPI status active today?
Active status means DAVID PORUDOMINSKY (MD)'s NPI record is not deactivated in the public file.
What services align with DAVID PORUDOMINSKY (MD)'s listing?
DAVID PORUDOMINSKY (MD)'s public classification highlights Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DAVID PORUDOMINSKY (MD)?
DAVID PORUDOMINSKY (MD) shows a connection to Margate, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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