DR. RAUL JR. MEDEROS (M.D.) – Surgery Physician, NPI 1396861712

DR. RAUL JR. MEDEROS (M.D.) is a healthcare provider. based in Hialeah, Florida. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. ME92628 (FL). The NPI Number for DR. RAUL JR. MEDEROS (M.D.) is 1396861712

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAUL JR. MEDEROS (M.D.)
NPI
1396861712
Phone
(305) 698-0112
Address
372 W 47 ST
Enumeration Date
21 March 2007
Last Update Date
23 December 2009

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
3056980112
Graduation Year
2002 (24 years ago)
PAC ID
2264520204
Group Practice PAC ID
7214924877
Professional Enrollment ID
I20071215000017
Address ID
FL330123950HI372XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,163 GENERAL SURGERY in FL

Provider Addresses for DR. RAUL JR. MEDEROS (M.D.)

  • 372 W 47 ST

    HIALEAH, FL 330123950

    Phone: (305) 698-0112

    Fax: (305) 698-0169

    Type: Mailing

  • 372 W 47 STREET

    HIALEAH, FL 330123950

    Phone: (305) 698-0112

    Fax: (305) 698-0169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $46,683.

Total Amount is formed as General ($46,683) + Research ($0) + Ownership ($0) = $46,683.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($45,922).

Total Amount

$46,683

General + Research + Ownership

Payments

79

Total payment records

General Amount

$46,683

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2007-12-15

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
I20071215000017IGeneral SurgeryFLTBD

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
31600Incision of windpipe for insertion of breathing tube (older than 2 years)1616$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 33012)

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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: 7214924877View full group profile
NameSpecialtyState
-FL
General SurgeryCT
General SurgeryFL
General Practice, Vascular SurgeryFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RAUL JR. MEDEROS (M.D.)?
DR. RAUL JR. MEDEROS (M.D.) — NPI 1396861712 — is the standard way to identify this listing.
Does CMS list DR. RAUL JR. MEDEROS (M.D.) as active?
Yes — DR. RAUL JR. MEDEROS (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. RAUL JR. MEDEROS (M.D.)?
For research purposes, treat DR. RAUL JR. MEDEROS (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. RAUL JR. MEDEROS (M.D.) list a practice location?
Patients near Hialeah, Florida may find DR. RAUL JR. MEDEROS (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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