DR. DWAYNE ALAN MAULTSBY (MD) – Anesthesiology Physician, NPI 1114963618

DR. DWAYNE ALAN MAULTSBY (MD) is a healthcare provider. based in Tamarac, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. ME106616 (FL). The NPI Number for DR. DWAYNE ALAN MAULTSBY (MD) is 1114963618

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. DWAYNE ALAN MAULTSBY (MD)
NPI
1114963618
Phone
(954) 720-3188
Address
7154 N UNIVERSITY DR
Enumeration Date
22 June 2006
Last Update Date
31 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2002 (24 years ago)
PAC ID
2769491786
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20130311000381
Address ID
FL330643502DE201XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,340 ANESTHESIOLOGY in FL

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Provider Addresses for DR. DWAYNE ALAN MAULTSBY (MD)

  • North University Drive, Tamarac, Broward County, Florida, 33321, United States

    #316

    TAMARAC, FL 333212916

    Phone: (954) 720-3188

    Fax: (954) 586-2589

    Type: Location

  • PO BOX 640996

    MIAMI, FL 33164

    Phone: (954) 720-3188

    Fax: (954) 586-2589

    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: 2013-03-11

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
I20130311000381IAnesthesiologyFLTBD

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 33321)

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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: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL

Reviews

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Frequently asked questions

Can I verify DR. DWAYNE ALAN MAULTSBY (MD) with an NPI only?
You can start verification with NPI 1114963618 for DR. DWAYNE ALAN MAULTSBY (MD), then check state licensing separately.
Is DR. DWAYNE ALAN MAULTSBY (MD) still practicing?
DR. DWAYNE ALAN MAULTSBY (MD) is currently listed as active in the public NPI registry.
What is DR. DWAYNE ALAN MAULTSBY (MD)'s primary classification?
Anesthesiology Physician is the headline specialty for DR. DWAYNE ALAN MAULTSBY (MD) here. Clinical services aligned with this taxonomy classification.
Where is DR. DWAYNE ALAN MAULTSBY (MD) based?
DR. DWAYNE ALAN MAULTSBY (MD) is tied to Tamarac, Florida in the data we show; additional addresses may exist on the full record.
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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