DR. JORGE AMED FERNANDEZ PEREZ (MD) – General Practice Physician, NPI 1407559966

DR. JORGE AMED FERNANDEZ PEREZ (MD) is a healthcare provider. based in Tamarac, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. ME176613 (FL). The NPI Number for DR. JORGE AMED FERNANDEZ PEREZ (MD) is 1407559966

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JORGE AMED FERNANDEZ PEREZ (MD)
NPI
1407559966
Phone
(786) 583-5100
Address
7166 N NOB HILL RD
Enumeration Date
23 March 2023
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547188700
Graduation Year
2013 (13 years ago)
PAC ID
3476048984
Group Practice PAC ID
0446679468
Professional Enrollment ID
I20251222003650
Address ID
FL333211839TA7166XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for DR. JORGE AMED FERNANDEZ PEREZ (MD)

  • 7166 N NOB HILL RD

    TAMARAC, FL 333211839

    Phone: (786) 583-5100

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-22

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
I20251222003650IGeneral PracticeFLTBD

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 33321)

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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: 0446679468View full group profile
NameSpecialtyState
Family PracticeFL
Family PracticeFL
Family PracticeFL
General PracticeFL
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeFL
General Practice, Family PracticeFL
Internal MedicineFL

Reviews

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Frequently asked questions

What federal number belongs to DR. JORGE AMED FERNANDEZ PEREZ (MD)?
The federal identifier for DR. JORGE AMED FERNANDEZ PEREZ (MD) is NPI 1407559966.
Is DR. JORGE AMED FERNANDEZ PEREZ (MD) active in the national directory?
DR. JORGE AMED FERNANDEZ PEREZ (MD)'s public NPI profile is in an active state.
Does DR. JORGE AMED FERNANDEZ PEREZ (MD) list a primary specialty?
If you are matching referrals, note General Practice Physician for DR. JORGE AMED FERNANDEZ PEREZ (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JORGE AMED FERNANDEZ PEREZ (MD)?
We surface Tamarac, Florida for DR. JORGE AMED FERNANDEZ PEREZ (MD) based on available NPPES addresses.
What if Tamarac, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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