HARIB H EZALDEIN (M.D.) – Dermatology Physician, NPI 1689037962

HARIB H EZALDEIN (M.D.) is a healthcare provider. based in Miami, Florida. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 2023-03031 (NC). The NPI Number for HARIB H EZALDEIN (M.D.) is 1689037962

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
HARIB H EZALDEIN (M.D.)
NPI
1689037962
Phone
(305) 404-3376
Address
4770 BISCAYNE BLVD STE 900
Enumeration Date
3 April 2016
Last Update Date
12 June 2025

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3054043376
Graduation Year
2016 (10 years ago)
PAC ID
1153614649
Group Practice PAC ID
5597139261
Professional Enrollment ID
I20210519000753
Address ID
FL331373232MI4770XBLVD307
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:10State licenses:2Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for HARIB H EZALDEIN (M.D.)

  • 4770 BISCAYNE BLVD STE 900

    MIAMI, FL 331373232

    Phone: (305) 404-3376

    Fax: (305) 404-6367

    Type: Location

  • 123 YORK ST APT 4K

    NEW HAVEN, CT 065115614

    Phone: (305) 613-4055

    Type: Mailing

  • 4411 BEE RIDGE RD

    SARASOTA, FL 342332514

    Phone: (305) 613-4055

    Type: Mailing

  • 925 NE 30TH TER STE 308

    HOMESTEAD, FL 330337614

    Phone: (786) 670-9799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $807.

Total Amount is formed as General ($807) + Research ($0) + Ownership ($0) = $807.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Janssen Biotech, Inc. ($382).

Total Amount

$807

General + Research + Ownership

Payments

11

Total payment records

General Amount

$807

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2024-04-09

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
I20210519000753IDermatologyFLTBD
I20240409000248IMicrographic Dermatologic Surgery (Mds)NCTBD

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
17003Destruction of precancer skin growth, 2-14 growths6518$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks6540$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks6029$0
11102Biopsy of related skin growth, first growth4034$0
11103Biopsy of related skin growth, each additional growth3615$0
View full utilization report →

Insurance plans in this area (ZIP 33137)

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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: 5597139261View full group profile
NameSpecialtyState
D E R M A T O L O G YOH

Reviews

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Frequently asked questions

Is there an official ID for HARIB H EZALDEIN (M.D.) in U.S. healthcare records?
The official identifier for HARIB H EZALDEIN (M.D.) is NPI 1689037962.
Is HARIB H EZALDEIN (M.D.) still an active registrant?
HARIB H EZALDEIN (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for HARIB H EZALDEIN (M.D.)?
At a glance, HARIB H EZALDEIN (M.D.) is tied to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is HARIB H EZALDEIN (M.D.) registered?
Use Miami, Florida as the headline location for HARIB H EZALDEIN (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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