VIDUR PRAVIN GHANTIWALA (DO) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1043710981
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
671 PAIN MANAGEMENT in FL
Provider Addresses for VIDUR PRAVIN GHANTIWALA (DO)
4513 EXECUTIVE DR
NAPLES, FL 341199033
Phone: (239) 591-2803
Type: Mailing
Larkin General Hospital, 7031, Southwest 62nd Avenue, South Miami, Miami-Dade County, Florida, 33143, United States
SOUTH MIAMI, FL 331434701
Phone: (305) 284-7761
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 $9,792.
Total Amount is formed as General ($9,792) + Research ($0) + Ownership ($0) = $9,792.
Last reported payment date: 2024-11-29 • Largest payer in this snapshot: Abbott Laboratories ($4,853).
Total Amount
$9,792
General + Research + Ownership
Payments
69
Total payment records
General Amount
$9,792
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
| Company | Amount |
|---|---|
| Abbott Laboratories | $4,853 |
| Boston Scientific Corporation | $2,546 |
| Stryker Corporation | $915 |
| Relievant Medsystems, Inc. | $403 |
| Vertos Medical, Inc. | $311 |
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: 2023-07-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230717000146 | I | Physical Medicine And Rehabilitation | FL | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 208 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 145 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 171 | 123 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 143 | 16 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 69 | 69 | $0 |
Insurance plans in this area (ZIP 34119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management, Pain Management | FL | |
| Internal Medicine | FL | |
| Physical Medicine And Rehabilitation | FL | |
| Family Practice | FL | |
| Family Practice | IA | |
| Interventional Pain Management | AR | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | FL |
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