MRS. MARIA M DUTRA (PA) – Medical Physician Assistant, NPI 1194790428

MRS. MARIA M DUTRA (PA) is a healthcare provider. based in Plantation, Florida. specializing in Medical Physician Assistant. They hold the professional credentials PA. The NPI Number for MRS. MARIA M DUTRA (PA) is 1194790428

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIA M DUTRA (PA)
NPI
1194790428
Phone
(954) 474-3262
Address
201 NW 82 AVE
Enumeration Date
21 February 2006
Last Update Date
8 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3058567333
Graduation Year
1999 (27 years ago)
PAC ID
1850330119
Group Practice PAC ID
2365440567
Professional Enrollment ID
I20050427000453
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for MRS. MARIA M DUTRA (PA)

  • Avenue, Triangle Plantation Drive, Plantation Point, Raleigh, Wake County, North Carolina, 27616-3017, United States

    SUITE 202

    PLANTATION, FL 333241854

    Phone: (954) 474-3262

    Fax: (954) 474-3489

    Type: Mailing

  • 8329, West Sunrise Boulevard, Plantation, Broward County, Florida, 33322, United States

    PLANTATION, FL 333225405

    Phone: (546) 271-6179

    Fax: (954) 474-3489

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $462.

Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.

Last reported payment date: 2024-04-12 • Largest payer in this snapshot: ABBVIE INC. ($169).

Total Amount

$462

General + Research + Ownership

Payments

27

Total payment records

General Amount

$462

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-12

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: 2005-04-27

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
I20050427000453IPhysician AssistantFLTBD

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 minutes1717$0
36415Insertion of needle into vein for collection of blood sample1514$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 33324)

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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: 2365440567View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Nurse PractitionerFL
-FL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
-FL
-FL
-FL

Reviews

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Frequently asked questions

How do I look up MRS. MARIA M DUTRA (PA) by NPI?
Use NPI 1194790428 when you need to reference MRS. MARIA M DUTRA (PA) in forms, claims, or directories.
Is MRS. MARIA M DUTRA (PA) active in the national directory?
MRS. MARIA M DUTRA (PA)'s public NPI profile is in an active state.
What does MRS. MARIA M DUTRA (PA) treat or focus on?
Patients typically see MRS. MARIA M DUTRA (PA) under the specialty Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. MARIA M DUTRA (PA)'s primary listing?
We display Plantation, Florida because that is what the record indicates for MRS. MARIA M DUTRA (PA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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