DR. PAVAN K NAIDU (MD) – Surgery Physician, NPI 1053874081

DR. PAVAN K NAIDU (MD) is a healthcare provider. based in Miami, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. V6366 (TX). The NPI Number for DR. PAVAN K NAIDU (MD) is 1053874081

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAVAN K NAIDU (MD)
NPI
1053874081
Phone
(305) 223-2000
Address
11750 BIRD RD
Enumeration Date
8 April 2019
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098131677
Graduation Year
2019 (7 years ago)
PAC ID
3375990419
Group Practice PAC ID
1557506383
Professional Enrollment ID
I20250410001901
Address ID
TX777014612BE3406XSTXX300
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

2,163 GENERAL SURGERY in FL

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Provider Addresses for DR. PAVAN K NAIDU (MD)

  • Kendall Regional Medical Center, 11750, Southwest 40th Street, Miami-Dade County, Florida, 33175, United States

    MIAMI, FL 331753530

    Phone: (305) 223-2000

    Fax: (305) 227-5556

    Type: Mailing

  • 3406 COLLEGE ST STE 200

    BEAUMONT, TX 777014612

    Phone: (409) 813-1677

    Fax: (409) 736-7167

    Type: Mailing

  • 3406 COLLEGE ST STE 101

    BEAUMONT, TX 777014612

    Phone: (409) 813-1677

    Fax: (409) 920-7093

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $2,774.

Total Amount is formed as General ($2,774) + Research ($0) + Ownership ($0) = $2,774.

Last reported payment date: 2024-05-04 • Largest payer in this snapshot: ABBVIE INC. ($2,197).

Total Amount

$2,774

General + Research + Ownership

Payments

16

Total payment records

General Amount

$2,774

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-04

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: 2025-04-10

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
I20250410001901IGeneral SurgeryTXTBD

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 33175)

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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: 1557506383View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineTX
-TX
Internal MedicineTX

Reviews

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Frequently asked questions

How is DR. PAVAN K NAIDU (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. PAVAN K NAIDU (MD) with NPI 1053874081.
Is DR. PAVAN K NAIDU (MD) listed as active for patients and plans?
The listing shows DR. PAVAN K NAIDU (MD) as active in the NPI system.
What is DR. PAVAN K NAIDU (MD)'s primary classification?
Surgery Physician is the headline specialty for DR. PAVAN K NAIDU (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PAVAN K NAIDU (MD)?
DR. PAVAN K NAIDU (MD)'s geographic hint is Miami, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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