DR. JACQUELYN ROSE DOSAL (MD) – Dermatology Physician, NPI 1114159837

DR. JACQUELYN ROSE DOSAL (MD) is a healthcare provider. based in Coral gables, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME115424 (FL). The NPI Number for DR. JACQUELYN ROSE DOSAL (MD) is 1114159837

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUELYN ROSE DOSAL (MD)
NPI
1114159837
Phone
(305) 443-6606
Address
4425 PONCE DE LEON BLVD
Enumeration Date
13 August 2009
Last Update Date
23 January 2017

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4356021918
Graduation Year
2009 (17 years ago)
PAC ID
5496995128
Group Practice PAC ID
9335411446
Professional Enrollment ID
I20241212001827
Address ID
UT840987575PA1526XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. JACQUELYN ROSE DOSAL (MD)

  • 4425, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33146, United States

    SUITE 200

    CORAL GABLES, FL 331461837

    Phone: (305) 443-6606

    Fax: (305) 443-4890

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $6,392.

Total Amount is formed as General ($6,392) + Research ($0) + Ownership ($0) = $6,392.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($4,462).

Total Amount

$6,392

General + Research + Ownership

Payments

77

Total payment records

General Amount

$6,392

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

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: 2024-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130701000365IDermatologyFLTBD
I20241212001827IDermatologyUTTBD

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
17003Destruction of precancer skin growth, 2-14 growths45470$0
99213Established patient office or other outpatient visit, 20-29 minutes259151$0
17000Destruction of precancer skin growth, 1 growth14487$0
17110Destruction of skin growth, 1-14 growths10472$0
11102Biopsy of related skin growth, first growth6245$0
View full utilization report →

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: 9335411446View full group profile
NameSpecialtyState
Physician AssistantUT
D E R M A T O L O G YIL

Reviews

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Frequently asked questions

What is the registry number for DR. JACQUELYN ROSE DOSAL (MD)?
The registry entry for DR. JACQUELYN ROSE DOSAL (MD) shows NPI 1114159837.
Should I treat DR. JACQUELYN ROSE DOSAL (MD) as an active provider?
Patients and plans typically see DR. JACQUELYN ROSE DOSAL (MD) as active in the national extract.
What services align with DR. JACQUELYN ROSE DOSAL (MD)'s listing?
DR. JACQUELYN ROSE DOSAL (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JACQUELYN ROSE DOSAL (MD)?
The directory associates DR. JACQUELYN ROSE DOSAL (MD) with Coral Gables, Florida. Check all listed addresses for suites or satellite offices.
Who maintains DR. JACQUELYN ROSE DOSAL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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