THOMAS SEAN WILLIAM PETIT (MD) – Internal Medicine Physician, NPI 1134423387

THOMAS SEAN WILLIAM PETIT (MD) is a healthcare provider. based in Pembroke pines, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. C196078 (CA). The NPI Number for THOMAS SEAN WILLIAM PETIT (MD) is 1134423387

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS SEAN WILLIAM PETIT (MD)
NPI
1134423387
Phone
(954) 437-4004
Address
460 N UNIVERSITY DR
Enumeration Date
3 January 2011
Deactivation Date
18 February 2026
Reactivation Date
20 February 2026
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3106750395
Graduation Year
2010 (16 years ago)
PAC ID
1557544764
Group Practice PAC ID
0244129963
Professional Enrollment ID
I20240905003983
Address ID
CA902505573HA12923AVEX301
Telehealth
Yes

Contacts

Secure Messaging
thomas.petit@conviva.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness95
Years active:15State licenses:2Other names

12,425 INTERNAL MEDICINE in FL

Provider Addresses for THOMAS SEAN WILLIAM PETIT (MD)

  • 460 N UNIVERSITY DR

    PEMBROKE PINES, FL 330246720

    Phone: (954) 437-4004

    Type: Location

  • 10941 Firestone Blvd

    Norwalk, CA 906502242

    Phone: (205) 964-2924

    Type: Location

  • 6101 BLUE LAGOON DR STE 400

    MIAMI, FL 331262051

    Phone: (305) 500-2000

    Type: Mailing

  • 12923 INGLEWOOD AVE STE 1

    HAWTHORNE, CA 902505573

    Phone: (310) 675-0395

    Fax: (310) 675-0073

    Type: Location

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone: (305) 500-2000

    Type: Mailing

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 $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Silk Road Medical, Inc. ($38).

Total Amount

$53

General + Research + Ownership

Payments

3

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

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: 2024-09-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20110325000413IPhysician AssistantCATBD
I20200715001464IInternal MedicineFLTBD
I20240905003983IInternal MedicineCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6254$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5858$0
99212Established patient office or other outpatient visit, 10-19 minutes3934$0
99214Established patient office or other outpatient visit, 30-39 minutes3331$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 33024)

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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: 0244129963View full group profile
NameSpecialtyState
-CA
Nurse PractitionerCA
Family PracticeCA
Internal MedicineCA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Internal MedicineCA
Family PracticeCA
Family Practice, General PracticeCA
Internal MedicineCO
Internal MedicineNJ
-CA

Reviews

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Frequently asked questions

Does THOMAS SEAN WILLIAM PETIT (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — THOMAS SEAN WILLIAM PETIT (MD) uses 1134423387.
Can I rely on THOMAS SEAN WILLIAM PETIT (MD) being an active provider?
As of the registry snapshot, THOMAS SEAN WILLIAM PETIT (MD) is marked active.
What taxonomy line describes THOMAS SEAN WILLIAM PETIT (MD)?
For research purposes, treat THOMAS SEAN WILLIAM PETIT (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for THOMAS SEAN WILLIAM PETIT (MD)?
THOMAS SEAN WILLIAM PETIT (MD)'s geographic hint is Pembroke Pines, Florida in our summary view.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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