ELKE OJEDA ULLOA (PA-C) – Physician Assistant, NPI 1790854545
Physician Assistant
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELKE OJEDA ULLOA (PA-C)
20803 Biscayne Blvd Ste 204
Aventura, FL 331801429
Phone: (954) 265-0072
Fax: (954) 981-0188
Type: Location
5830 Coral Ridge Dr Ste 140
Coral Springs, FL 330763388
Phone: (954) 265-0072
Fax: (954) 981-0188
Type: Location
2900 CORPORATE WAY
DOOR D
MIRAMAR, FL 330253925
Phone: (954) 276-5685
Fax: (954) 985-7074
Type: Mailing
1150 N 35TH AVE STE 555
HOLLYWOOD, FL 330215431
Phone: (954) 265-0072
Fax: (954) 981-0188
Type: Location
Bethesda Hospital East, 2815, South Seacrest Boulevard, Chapel Hill, Boynton Beach, Palm Beach County, Florida, 33435, United States
BOYNTON BEACH, FL 334357984
Phone: (561) 737-7733
Fax: (561) 733-5912
Type: Mailing
2800, South Seacrest Boulevard, Chapel Hill, Boynton Beach, Palm Beach County, Florida, 33435, United States
STE 200
BOYNTON BEACH, FL 334357960
Phone: (561) 736-8200
Fax: (561) 736-4635
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: 2005-02-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050214000108 | I | Physician Assistant | FL | 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 33180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL |
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