KAROL ENRIQUE FORTICH (MD) – Internal Medicine Physician, NPI 1124284468
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for KAROL ENRIQUE FORTICH (MD)
111 WEBB DR
DAVENPORT, FL 338373962
Phone: (863) 588-1424
Type: Mailing
199 SE AVENUE K
WINTER HAVEN, FL 33880
Phone: (863) 299-6700
Fax: (863) 299-6359
Type: Location
6675 WESTWOOD BLVD STE 475
ORLANDO, FL 328216027
Phone: (407) 845-0330
Fax: (888) 972-1752
Type: Mailing
151 2ND ST SW
WINTER HAVEN, FL 338802909
Phone: (863) 299-6700
Fax: (863) 299-6359
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $285.
Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Novo Nordisk Inc ($126).
Total Amount
$285
General + Research + Ownership
Payments
15
Total payment records
General Amount
$285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $126 |
| Lilly USA, LLC | $82 |
| GlaxoSmithKline, LLC. | $40 |
| SI-BONE, INC. | $21 |
| Kowa Pharmaceuticals America, Inc. | $16 |
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: 2010-12-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101209001168 | I | Internal Medicine | FL | TBD |
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.
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 33837)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| General Practice | PR | |
| - | FL | |
| - | FL | |
| General Practice | PR | |
| Internal Medicine | FL | |
| General Practice | FL | |
| General Practice | FL |
Reviews
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