DR. JOHANE BENYEHUDA (M.D.) – Family Medicine Physician, NPI 1770725343
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JOHANE BENYEHUDA (M.D.)
111 N ORANGE AVE STE 800
ORLANDO, FL 328012381
Phone: (407) 752-9728
Fax: (727) 292-1156
Type: Mailing
3520, 38th Avenue North, Saint Petersburg, Pinellas County, Florida, 33713, United States
ST PETERSBURG, FL 337131448
Phone: (727) 471-5039
Fax: (727) 471-6446
Type: Mailing
Winter Park Dental, 6504, University Boulevard, Aloma, Winter Park, Orange County, Florida, 32792, United States
WINTER PARK, FL 327923279
Phone: (407) 410-8945
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: 2021-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091204000081 | I | Family Practice | FL | TBD |
| I20210120002179 | I | Family Practice | OH | TBD |
| I20210319000786 | I | Internal Medicine | PA | TBD |
| I20210528000556 | I | Internal Medicine | GA | TBD |
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.
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 32801)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | TX | |
| Internal Medicine | PA | |
| Clinical Psychologist | TX | |
| - | GA | |
| - | TN | |
| - | PA | |
| Internal Medicine | GA | |
| Mental Health Counselor | TX | |
| Family Practice | TX | |
| Clinical Psychologist | CO |
Reviews
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