BERNICE BAROUDI (DO) – Dermatology Physician, NPI 1053806000

BERNICE BAROUDI (DO) is a healthcare provider. based in Port charlotte, Florida. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. OS19199 (FL). The NPI Number for BERNICE BAROUDI (DO) is 1053806000

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BERNICE BAROUDI (DO)
NPI
1053806000
Phone
(941) 627-5155
Address
3222 TAMIAMI TRL
Enumeration Date
22 June 2018
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
9416275155
Graduation Year
2018 (8 years ago)
PAC ID
3375913601
Professional Enrollment ID
I20230103002061
Address ID
FL339528048PO3222XTRLX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for BERNICE BAROUDI (DO)

  • 3222 TAMIAMI TRL

    PORT CHARLOTTE, FL 339528048

    Phone: (941) 627-5155

    Type: Mailing

  • Broward Health Medical Center, 1600, South Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States

    FORT LAUDERDALE, FL 333162510

    Phone:

    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 $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-02-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($74).

Total Amount

$167

General + Research + Ownership

Payments

3

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-17

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: 2023-01-03

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
I20230103002061IDermatologyFLTBD

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
99204New patient office or other outpatient visit, 45-59 minutes5555$0
11301Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm3323$0
99213Established patient office or other outpatient visit, 20-29 minutes2517$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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Reviews

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Frequently asked questions

What is the standard ID for BERNICE BAROUDI (DO) in the U.S.?
In the U.S., BERNICE BAROUDI (DO) is identified by NPI 1053806000.
Should I treat BERNICE BAROUDI (DO) as an active provider?
Patients and plans typically see BERNICE BAROUDI (DO) as active in the national extract.
How should patients interpret BERNICE BAROUDI (DO)'s specialty?
The extract shows Dermatology Physician for BERNICE BAROUDI (DO). Clinical services aligned with this taxonomy classification.
What city is tied to BERNICE BAROUDI (DO)?
The directory associates BERNICE BAROUDI (DO) with Port Charlotte, Florida. Check all listed addresses for suites or satellite offices.
Who maintains BERNICE BAROUDI (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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