MR. JUAN VIDAL (MD) – Internal Medicine Physician, NPI 1093796286

MR. JUAN VIDAL (MD) is a healthcare provider. based in Jupiter, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME70026 (FL). The NPI Number for MR. JUAN VIDAL (MD) is 1093796286

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUAN VIDAL (MD)
NPI
1093796286
Phone
(561) 630-0303
Address
4600 MILITARY TRL
Enumeration Date
7 November 2005
Last Update Date
10 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5619359622
Graduation Year
1984 (42 years ago)
PAC ID
1658336482
Professional Enrollment ID
I20041122000355
Address ID
FL334587489JU312XXHWYX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for MR. JUAN VIDAL (MD)

  • Military Trail, Jupiter, Palm Beach County, Florida, 33458, United States

    STE 110

    JUPITER, FL 334584811

    Phone: (561) 630-0303

    Fax: (561) 630-6011

    Type: Mailing

  • JFK Medical Center, 5301, South Congress Avenue, Hypoluxo Village, Atlantis, Palm Beach County, Florida, 33462, United States

    ATLANTIS, FL 334621149

    Phone: (561) 588-4844

    Fax: (561) 588-3655

    Type: Location

  • 5301 S Congress Ave

    Atlantis, FL 334621149

    Phone: (561) 588-4844

    Fax: (561) 588-3655

    Type: Location

  • 312 S OLD DIXIE HWY STE 107

    JUPITER, FL 334587489

    Phone: (561) 935-9622

    Fax: (561) 935-9627

    Type: Location

  • 312 S OLD DIXIE HWY

    STE 107

    JUPITER, FL 334587489

    Phone: (561) 935-9622

    Fax: (561) 935-9627

    Type: Mailing

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: 2004-11-22

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
I20041122000355IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96375Injection of additional new drug or substance into vein62513$0
99215Established patient office or other outpatient visit, 40-54 minutes12632$0
99214Established patient office or other outpatient visit, 30-39 minutes12027$0
96374Injection of drug or substance into vein10513$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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Reviews

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Frequently asked questions

What identifier follows MR. JUAN VIDAL (MD) across health systems?
The NPI 1093796286 uniquely identifies MR. JUAN VIDAL (MD) in U.S. healthcare data.
Does the public listing show MR. JUAN VIDAL (MD) as active?
MR. JUAN VIDAL (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. JUAN VIDAL (MD)?
NPPES ties MR. JUAN VIDAL (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. JUAN VIDAL (MD)?
MR. JUAN VIDAL (MD) is associated with Jupiter, Florida in the same public data insurers reference.
Who maintains MR. JUAN VIDAL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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