WACHAREE SEEHERUNVONG (MD) – Pediatric Nephrology Physician, NPI 1770664054

WACHAREE SEEHERUNVONG (MD) is a healthcare provider. based in Miami, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. ME97013 (FL). The NPI Number for WACHAREE SEEHERUNVONG (MD) is 1770664054

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
WACHAREE SEEHERUNVONG (MD)
NPI
1770664054
Phone
(305) 243-4029
Address
1601 NW 12TH AVE
Enumeration Date
17 October 2006
Last Update Date
22 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3055471496
Graduation Year
1992 (34 years ago)
PAC ID
4587760475
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20070510000022
Address ID
FL331361005MI1611XAVEN501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

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Provider Addresses for WACHAREE SEEHERUNVONG (MD)

  • 1601, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 243-4029

    Fax: (305) 243-8470

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-04-14 • Largest payer in this snapshot: CALLIDITAS THERAPEUTICS US INC. ($66).

Total Amount

$66

General + Research + Ownership

Payments

1

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-14

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: 2007-05-10

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
I20070510000022IPediatric MedicineFLTBD

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 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: 3274795109View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to WACHAREE SEEHERUNVONG (MD)?
NPI 1770664054 is assigned to WACHAREE SEEHERUNVONG (MD) under the national enumeration system.
Is WACHAREE SEEHERUNVONG (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does WACHAREE SEEHERUNVONG (MD) list a primary specialty?
If you are matching referrals, note Pediatric Nephrology Physician for WACHAREE SEEHERUNVONG (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for WACHAREE SEEHERUNVONG (MD)?
The page summarizes Miami, Florida for WACHAREE SEEHERUNVONG (MD); expand the address list for detail.
Is WACHAREE SEEHERUNVONG (MD) a real provider?
This page reflects official NPPES data for NPI 1770664054. Always confirm identity and privileges with the practice and licensing boards.

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