DR. CAMERON DEZFULIAN (MD) – Pediatric Critical Care Medicine Physician, NPI 1578563565

DR. CAMERON DEZFULIAN (MD) is a healthcare provider. based in Miami, Florida. specializing in CRITICAL CARE (INTENSIVISTS), PEDIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 102382 (FL). The NPI Number for DR. CAMERON DEZFULIAN (MD) is 1578563565

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAMERON DEZFULIAN (MD)
NPI
1578563565
Phone
(305) 243-4664
Address
1500 NW 12TH AVE,
Enumeration Date
30 July 2005
Last Update Date
25 June 2009

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
9436117074
Group Practice PAC ID
8022243971
Professional Enrollment ID
I20210915003646
Address ID
TX770304202HO7200XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,454 CRITICAL CARE (INTENSIVISTS) in FL

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Provider Addresses for DR. CAMERON DEZFULIAN (MD)

  • Jackson Medical Towers, 1500, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    JMT-EAST 1007

    MIAMI, FL 331361028

    Phone: (305) 243-4664

    Type: Mailing

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 585-1111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,216.

Total Amount is formed as General ($1,216) + Research ($0) + Ownership ($0) = $1,216.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($513).

Total Amount

$1,216

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

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: 2021-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110310000698ICritical Care (Intensivists)PATBD
I20210915003646IInternal MedicineTXTBD

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
99291Critical care, first 30-74 minutes2412$0
View full utilization report →

Insurance plans in this area (ZIP 33136)

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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: 8022243971View full group profile
NameSpecialtyState
-TX
Clinical PsychologistTX
Diagnostic RadiologyVA
U R O L O G YTX
-TX
-TX
General SurgeryAZ
H E M A T O L O G Y/ O N C O L O G YTX
Hematology, Internal MedicineWA
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. CAMERON DEZFULIAN (MD)?
DR. CAMERON DEZFULIAN (MD) — NPI 1578563565 — is the standard way to identify this listing.
Does CMS list DR. CAMERON DEZFULIAN (MD) as active?
Yes — DR. CAMERON DEZFULIAN (MD) is active in the NPI listing used on this page.
What is DR. CAMERON DEZFULIAN (MD)'s specialty?
The listing groups DR. CAMERON DEZFULIAN (MD) with Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. CAMERON DEZFULIAN (MD) serve?
DR. CAMERON DEZFULIAN (MD)'s listing highlights Miami, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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