NOUSHAD MAMUN (DO) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1134757362
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
671 PAIN MANAGEMENT in FL
Provider Addresses for NOUSHAD MAMUN (DO)
13564 VILLAGE PARK DR UNIT 150
ORLANDO, FL 328377765
Phone: (321) 843-5851
Fax: (407) 599-1691
Type: Mailing
16966 Cagan Ridge Blvd Ste 220
CLERMONT, FL 347149656
Phone: (321) 843-5851
Fax: (352) 386-9748
Type: Location
3501 Johnson St
Hollywood, FL 330215421
Phone: (954) 987-2000
Type: Location
3501 JOHNSON ST
HOLLYWOOD, FL 330215421
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $2,574.
Total Amount is formed as General ($2,574) + Research ($0) + Ownership ($0) = $2,574.
Last reported payment date: 2024-11-16 • Largest payer in this snapshot: Medtronic, Inc. ($2,574).
Total Amount
$2,574
General + Research + Ownership
Payments
20
Total payment records
General Amount
$2,574
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,574 |
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: 2025-11-06
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 |
|---|---|---|---|---|
| I20251106000026 | I | Pain Management | 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 32837)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Vascular Surgery, General Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Sports Medicine | OH | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Internal Medicine | IA |
Reviews
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