JAPA VOLCHOK (D.O.) – Family Medicine Physician, NPI 1417011511
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,466 GENERAL PRACTICE in FL
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Provider Addresses for JAPA VOLCHOK (D.O.)
Southwest 160th Avenue, Miramar, Broward County, Florida, United States
MIRAMAR, FL 330276314
Phone: (954) 399-4621
Type: Mailing
6070 S FORT APACHE RD STE 100
LAS VEGAS, NV 891485615
Phone: (702) 803-5534
Fax: (888) 977-3492
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $868.
Total Amount is formed as General ($868) + Research ($0) + Ownership ($0) = $868.
Last reported payment date: 2024-10-19 • Largest payer in this snapshot: MIMEDX Group, Inc. ($821).
Total Amount
$868
General + Research + Ownership
Payments
5
Total payment records
General Amount
$868
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $821 |
| Kerecis Limited | $46 |
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: 2024-02-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170803000743 | I | Family Practice | VA | TBD |
| I20200504000769 | I | Family Practice | DC | TBD |
| I20240229004642 | I | General Practice | NV | TBD |
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.
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 33027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nurse Practitioner | NV | |
| Physician Assistant | NV | |
| Internal Medicine, Endocrinology | TX | |
| Family Practice | NV | |
| Vascular Surgery | PA | |
| Nurse Practitioner | NV | |
| Internal Medicine, Infectious Disease | NY | |
| Nurse Practitioner | NJ | |
| P O D I A T R Y | NV |
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