FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.) – Hospitalist Physician, NPI 1740432269

FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.) is a healthcare provider. based in Hollywood, Florida. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. ME113158 (FL). The NPI Number for FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.) is 1740432269

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.)
NPI
1740432269
Phone
(954) 265-7450
Address
1150 N 35TH AVE STE 390
Enumeration Date
15 October 2008
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056897272
Graduation Year
2000 (26 years ago)
PAC ID
9335375815
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20131112001510
Address ID
FL331361003MI1400XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

796 NEPHROLOGY in FL

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Provider Addresses for FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.)

  • 390, North 35th Avenue, West Hollywood, Hollywood, Broward County, Florida, 33021, United States

    HOLLYWOOD, FL 330215429

    Phone: (954) 265-7450

    Fax: (954) 265-7459

    Type: Location

  • 1201 NW 16TH ST RM D1010

    MIAMI, FL 331251624

    Phone: (305) 575-7000

    Fax: (305) 575-3147

    Type: Mailing

  • 2900, Corporate Way, Miramar, Broward County, Florida, 33025, United States

    DOOR D

    MIRAMAR, FL 330253925

    Phone: (954) 276-5685

    Fax: (954) 985-7074

    Type: Mailing

  • 1611 NW 12TH AVE

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-11-12

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
I20131112001510INephrologyFLTBD

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 minutes2516$0
View full utilization report →

Insurance plans in this area (ZIP 33021)

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Provider's Procedures

FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYFL90935Hemodialysis procedure with one physician evaluation10057

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: 3274795109View full group profile

Reviews

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Frequently asked questions

Is FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.) listed with a National Provider Identifier?
Yes — FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.) has NPI 1740432269 on file in the registry.
Active or inactive — what applies to FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.)?
You should see FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.)'s focus?
For FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.), the primary taxonomy reads as Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.)?
Directory geography for FERNANDO EDILBERTO PEDRAZA TABORDA (M.D.) centers on Hollywood, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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