EDWARD M FIDALGO (M.D.) – Obstetrics & Gynecology Physician, NPI 1376548560

EDWARD M FIDALGO (M.D.) is a healthcare provider. based in Miami, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. ME65256 (FL). The NPI Number for EDWARD M FIDALGO (M.D.) is 1376548560

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD M FIDALGO (M.D.)
NPI
1376548560
Phone
(305) 854-2899
Address
3659 S MIAMI AVE
Enumeration Date
15 June 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3052734641
Graduation Year
1991 (35 years ago)
PAC ID
3375533862
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20040517000324
Address ID
FL331334741MI3225XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for EDWARD M FIDALGO (M.D.)

  • 3659, South Miami Avenue, Bay Heights, Miami, Miami-Dade County, Florida, 33133, United States

    STE 5005

    MIAMI, FL 331334221

    Phone: (305) 854-2899

    Fax: (305) 859-9677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $305.

Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: CooperSurgical, Inc. ($83).

Total Amount

$305

General + Research + Ownership

Payments

17

Total payment records

General Amount

$305

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2004-05-17

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
I20040517000324IObstetrics/GynecologyFLTBD

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 33133)

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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: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for EDWARD M FIDALGO (M.D.)?
EDWARD M FIDALGO (M.D.) — NPI 1376548560 — is the standard way to identify this listing.
Does the file indicate EDWARD M FIDALGO (M.D.) is practicing under active NPI?
Directory data currently reports EDWARD M FIDALGO (M.D.) as active.
What taxonomy line describes EDWARD M FIDALGO (M.D.)?
For research purposes, treat EDWARD M FIDALGO (M.D.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect EDWARD M FIDALGO (M.D.) on a map?
Expect Miami, Florida as a primary anchor for EDWARD M FIDALGO (M.D.) unless the record lists multiple sites.
Is the information about EDWARD M FIDALGO (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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