MICHAEL MAIDAA – Urology Physician, NPI 1366008641

MICHAEL MAIDAA is a healthcare provider. based in Gainesville, Florida. specializing in UROLOGY. They hold a License No. A194568 (CA). The NPI Number for MICHAEL MAIDAA is 1366008641

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL MAIDAA
NPI
1366008641
Phone
Not provided
Address
1600 SW ARCHER RD
Enumeration Date
13 May 2019
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7148792410
Graduation Year
2019 (7 years ago)
PAC ID
5294167136
Group Practice PAC ID
6709875370
Professional Enrollment ID
I20240612000329
Address ID
CA928353626FU1915XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

898 UROLOGY in FL

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Provider Addresses for MICHAEL MAIDAA

  • UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States

    GAINESVILLE, FL 326103003

    Phone:

    Type: Mailing

  • 1915 SUNNY CREST DR

    FULLERTON, CA 928353626

    Phone: (714) 879-2410

    Fax: (714) 879-5340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $5,685.

Total Amount is formed as General ($5,685) + Research ($0) + Ownership ($0) = $5,685.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Boston Scientific Corporation ($3,831).

Total Amount

$5,685

General + Research + Ownership

Payments

47

Total payment records

General Amount

$5,685

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-06-12

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
I20240612000329IUrologyCATBD

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 32610)

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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: 6709875370View full group profile
NameSpecialtyState
U R O L O G YCA
U R O L O G YOH
-CA

Reviews

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Frequently asked questions

What number should I use to identify MICHAEL MAIDAA for billing?
Administrative and clinical systems typically use NPI 1366008641 for MICHAEL MAIDAA.
Should I treat MICHAEL MAIDAA as an active provider?
Patients and plans typically see MICHAEL MAIDAA as active in the national extract.
What type of care does MICHAEL MAIDAA provide?
MICHAEL MAIDAA's profile centers on Urology Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL MAIDAA tied to Gainesville, Florida?
If you are local to Gainesville, Florida, MICHAEL MAIDAA may be relevant to your search.
Who maintains MICHAEL MAIDAA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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