DR. JUNIOR MACIAS MADAULA (MD) – Internal Medicine Physician, NPI 1043577109

DR. JUNIOR MACIAS MADAULA (MD) is a healthcare provider. based in Miami gardens, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME121764 (FL). The NPI Number for DR. JUNIOR MACIAS MADAULA (MD) is 1043577109

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUNIOR MACIAS MADAULA (MD)
NPI
1043577109
Phone
(305) 831-4761
Address
1395 NW 167TH ST
Enumeration Date
13 April 2012
Last Update Date
8 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136815658
Graduation Year
1997 (29 years ago)
PAC ID
1456650704
Group Practice PAC ID
0345233409
Professional Enrollment ID
I20160509001005
Address ID
FL335736825SU4051XDRXX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. JUNIOR MACIAS MADAULA (MD)

  • 1395 NW 167TH ST

    MIAMI GARDENS, FL 331695742

    Phone: (305) 831-4761

    Type: Mailing

  • 1505 53RD AVE E

    BRADENTON, FL 342034249

    Phone: (941) 357-7950

    Type: Location

  • 500 Vonderburg Dr Ste 102

    Brandon, FL 335115968

    Phone: (813) 681-5658

    Fax: (813) 681-5250

    Type: Location

  • 4051 UPPER CREEK DR STE 112

    SUN CITY CENTER, FL 335736825

    Phone: (813) 681-5658

    Fax: (813) 681-5250

    Type: Location

  • 5961 NW 173RD DR

    HIALEAH, FL 330155114

    Phone: (305) 556-7500

    Type: Location

  • 500 VONDERBURG DR STE 102

    BRANDON, FL 335115968

    Phone: (813) 681-5658

    Fax: (813) 681-5250

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Boston Scientific Corporation ($128).

Total Amount

$188

General + Research + Ownership

Payments

3

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-29

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: 2016-05-09

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
I20160509001005IInternal 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 33169)

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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: 0345233409View full group profile
NameSpecialtyState
Geriatric MedicineFL
Nurse PractitionerFL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Internal MedicineFL
Physician AssistantFL
Nurse PractitionerTN
Family PracticeFL
Nurse PractitionerFL
Internal MedicineFL
-FL

Reviews

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Frequently asked questions

Is there an official ID for DR. JUNIOR MACIAS MADAULA (MD) in U.S. healthcare records?
The official identifier for DR. JUNIOR MACIAS MADAULA (MD) is NPI 1043577109.
Would DR. JUNIOR MACIAS MADAULA (MD) appear as active to a payer?
You can treat DR. JUNIOR MACIAS MADAULA (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. JUNIOR MACIAS MADAULA (MD)?
DR. JUNIOR MACIAS MADAULA (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JUNIOR MACIAS MADAULA (MD)?
Directory geography for DR. JUNIOR MACIAS MADAULA (MD) centers on Miami Gardens, Florida.
Does DR. JUNIOR MACIAS MADAULA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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