DR. PETER N. SOUDIJN (M.D.) – Internal Medicine Physician, NPI 1558314179
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
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Provider Addresses for DR. PETER N. SOUDIJN (M.D.)
29750 US HIGHWAY 19 N STE 101
CLEARWATER, FL 337611510
Phone: (727) 786-5058
Fax: (813) 635-2639
Type: Mailing
US Highway 19 North, Clearwater, Pinellas County, Florida, 33736, United States
CLEARWATER, FL 337611510
Phone: (727) 786-5058
Fax: (813) 635-2639
Type: Location
Drew Street, Clearwater, Pinellas County, Florida, 34625, United States
CLEARWATER, FL 337593012
Phone: (727) 532-1355
Fax: (813) 635-2613
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Exact Sciences Corporation ($65).
Total Amount
$99
General + Research + Ownership
Payments
6
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $65 |
| GlaxoSmithKline, LLC. | $20 |
| Lilly USA, LLC | $14 |
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: 2010-01-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100114000661 | I | Internal Medicine | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 467 | 236 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 176 | 176 | $0 |
| G0008 | Administration of influenza virus vaccine | 70 | 70 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 68 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 40 | $0 |
Insurance plans in this area (ZIP 33761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | GA |
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