OPAL PREVATT – Internal Medicine Physician, NPI 1609255181

OPAL PREVATT is a healthcare provider. based in Fort lauderdale, Florida. specializing in INTERNAL MEDICINE. They hold a License No. 00000 (KY). The NPI Number for OPAL PREVATT is 1609255181

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
OPAL PREVATT
NPI
1609255181
Phone
(917) 412-4016
Address
4725 N Federal Hwy
Enumeration Date
29 May 2015
Last Update Date
17 July 2018

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
5026294409
Graduation Year
2014 (12 years ago)
PAC ID
6709135338
Group Practice PAC ID
7012811284
Professional Enrollment ID
I20180815002069
Address ID
KY402021831LO200XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for OPAL PREVATT

  • 4725 N Federal Hwy

    Fort Lauderdale, FL 333084603

    Phone: (917) 412-4016

    Type: Location

  • 37 BALL PARK RD

    HARLAN, KY 408311701

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($121).

Total Amount

$158

General + Research + Ownership

Payments

3

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2018-08-15

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
I20180815002069IInternal MedicineKYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15980$0
99239Hospital discharge day management, more than 30 minutes158124$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9988$0
99291Critical care, first 30-74 minutes5926$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3823$0
View full utilization report →

Insurance plans in this area (ZIP 33308)

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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: 7012811284View full group profile
NameSpecialtyState
Nurse PractitionerIL
Orthopedic SurgeryIN
Nurse PractitionerKY
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerKY
-IL
Internal MedicineKY
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What identifier follows OPAL PREVATT across health systems?
The NPI 1609255181 uniquely identifies OPAL PREVATT in U.S. healthcare data.
Should I treat OPAL PREVATT as an active provider?
Patients and plans typically see OPAL PREVATT as active in the national extract.
What does the directory say OPAL PREVATT does?
Insurance directories may phrase it differently, but here OPAL PREVATT maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit OPAL PREVATT in Fort Lauderdale, Florida?
For routing, start with Fort Lauderdale, Florida for OPAL PREVATT, then verify phone and hours locally.
Who maintains OPAL PREVATT's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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