ABDULWAHAB ALDOUSANY (MD) – Pediatric Cardiology Physician, NPI 1114038551

ABDULWAHAB ALDOUSANY (MD) is a healthcare provider. based in Coral gables, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. ME38928 (FL). The NPI Number for ABDULWAHAB ALDOUSANY (MD) is 1114038551

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
ABDULWAHAB ALDOUSANY (MD)
NPI
1114038551
Phone
(305) 662-8668
Address
5955 Ponce De Leon Blvd
Enumeration Date
31 August 2006
Last Update Date
28 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052701113
Graduation Year
1974 (52 years ago)
PAC ID
7517920085
Group Practice PAC ID
3678536240
Professional Enrollment ID
I20041105000281
Address ID
FL330337600HO975XXWAYX318
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

Provider Addresses for ABDULWAHAB ALDOUSANY (MD)

  • 5955 Ponce De Leon Blvd

    Coral Gables, FL 331462423

    Phone: (305) 662-8668

    Fax: (305) 662-3723

    Type: Location

  • 5955, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33146, United States

    CORAL GABLES, FL 331462423

    Phone: (305) 662-8668

    Fax: (305) 662-3723

    Type: Location

  • 8955 SW 87TH CT STE 104

    MIAMI, FL 331762264

    Phone: (305) 270-1113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: SOBI, INC ($66).

Total Amount

$133

General + Research + Ownership

Payments

4

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

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: 2004-11-05

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
I20041105000281IPediatric 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33146)

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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: 3678536240View full group profile
NameSpecialtyState
Gastroenterology, Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineOK
O B S T E T R I C S/ G Y N E C O L O G YFL
Pediatric Medicine, GastroenterologyFL
Pediatric Medicine, EndocrinologyFL
Pediatric MedicineFL

Reviews

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Frequently asked questions

What unique ID ties claims to ABDULWAHAB ALDOUSANY (MD)?
NPI 1114038551 is assigned to ABDULWAHAB ALDOUSANY (MD) under the national enumeration system.
Does this profile mean ABDULWAHAB ALDOUSANY (MD) is currently active?
Yes — ABDULWAHAB ALDOUSANY (MD) appears active in the national provider directory.
Does ABDULWAHAB ALDOUSANY (MD) list a primary specialty?
If you are matching referrals, note Pediatric Cardiology Physician for ABDULWAHAB ALDOUSANY (MD). Clinical services aligned with this taxonomy classification.
What location shows for ABDULWAHAB ALDOUSANY (MD)?
We surface Coral Gables, Florida for ABDULWAHAB ALDOUSANY (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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