DOMINIC PRADO (MD) – Ophthalmology Physician, NPI 1649808437

DOMINIC PRADO (MD) is a healthcare provider. based in Odessa, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 168475 (FL). The NPI Number for DOMINIC PRADO (MD) is 1649808437

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DOMINIC PRADO (MD)
NPI
1649808437
Phone
(813) 340-5557
Address
11615 INNFIELDS DR
Enumeration Date
29 March 2020
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8139310500
Graduation Year
2020 (6 years ago)
PAC ID
4385066570
Group Practice PAC ID
3072612506
Professional Enrollment ID
I20240610000764
Address ID
FL336143205TA7522XAVEX401

Contacts

Secure Messaging
dprado@pradovision.intelchartdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

656 OPHTHALMOLOGY in NC

Provider Addresses for DOMINIC PRADO (MD)

  • 11615 INNFIELDS DR

    ODESSA, FL 335565407

    Phone: (813) 340-5557

    Type: Mailing

  • 1 MEDICAL CENTER BLVD

    WINSTON SALEM, NC 271570001

    Phone: (336) 716-2011

    Fax: (336) 716-5168

    Type: Location

  • 7522 N HIMES AVE

    TAMPA, FL 336143205

    Phone: (813) 931-0500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $974.

Total Amount is formed as General ($974) + Research ($0) + Ownership ($0) = $974.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Genentech, Inc. ($291).

Total Amount

$974

General + Research + Ownership

Payments

14

Total payment records

General Amount

$974

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-06-10

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
I20240610000764IOphthalmologyFLTBD

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 33556)

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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: 3072612506View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
Ophthalmology, Plastic And Reconstructive SurgeryFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

What number should I use to identify DOMINIC PRADO (MD) for billing?
Administrative and clinical systems typically use NPI 1649808437 for DOMINIC PRADO (MD).
Quick check: is DOMINIC PRADO (MD) active?
Public NPPES data shows DOMINIC PRADO (MD) with an active NPI status right now.
What services align with DOMINIC PRADO (MD)'s listing?
DOMINIC PRADO (MD)'s public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DOMINIC PRADO (MD) in Odessa, Florida?
For routing, start with Odessa, Florida for DOMINIC PRADO (MD), then verify phone and hours locally.
Why is information missing for DOMINIC PRADO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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