MAYA BENDLY (PA) – Physician Assistant, NPI 1104522648

MAYA BENDLY (PA) is a healthcare provider. based in Plantation, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MAYA BENDLY (PA) is 1104522648

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MAYA BENDLY (PA)
NPI
1104522648
Phone
Not provided
Address
292 NW 69TH AVE APT 167
Enumeration Date
6 February 2023
Last Update Date
6 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
9032565106
Group Practice PAC ID
2860412509
Professional Enrollment ID
I20231025002575
Address ID
FL331402800MI4306XRDXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MAYA BENDLY (PA)

  • 292 NW 69TH AVE APT 167

    PLANTATION, FL 333172321

    Phone:

    Type: Mailing

  • 292 NW 69TH AVE

    PLANTATION, FL 333172321

    Phone: (954) 646-4567

    Type: Location

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 $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($35).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2023-10-25

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
I20231025002575IPhysician AssistantFLTBD

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 33317)

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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: 2860412509View full group profile
NameSpecialtyState
N E U R O S U R G E R YAZ
Nurse PractitionerFL
Neurosurgery, NeurologyMA
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
-FL
N E U R O S U R G E R YFL

Reviews

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Frequently asked questions

Does MAYA BENDLY (PA) have a public NPI I can cite?
Public records show MAYA BENDLY (PA) under NPI 1104522648.
Should I treat MAYA BENDLY (PA) as an active provider?
Patients and plans typically see MAYA BENDLY (PA) as active in the national extract.
How should patients interpret MAYA BENDLY (PA)'s specialty?
The extract shows Physician Assistant for MAYA BENDLY (PA). Clinical services aligned with this taxonomy classification.
What city is tied to MAYA BENDLY (PA)?
The directory associates MAYA BENDLY (PA) with Plantation, Florida. Check all listed addresses for suites or satellite offices.
Who maintains MAYA BENDLY (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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