DR. OSVALDO ANTONIO FERNANDEZ DOMINGUEZ (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1821310632
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for DR. OSVALDO ANTONIO FERNANDEZ DOMINGUEZ (M.D.)
3621 SW 107TH AVE
MIAMI, FL 331653636
Phone: (855) 226-6633
Type: Mailing
Citrus Health Network, 4175, West 20th Avenue, Hialeah, Miami-Dade County, Florida, 33012, United States
HIALEAH, FL 330125874
Phone: (786) 271-3592
Fax: (305) 696-8845
Type: Mailing
203, Northwest 95th Street, Pinewood Park, Miami-Dade County, Florida, 33150, United States
MIAMI, FL 331502064
Phone: (786) 271-3592
Fax: (305) 696-8845
Type: Location
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $15 |
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: 2010-07-08
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 |
|---|---|---|---|---|
| I20100708000383 | I | Psychiatry | 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 33165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | FL | |
| Nurse Practitioner | FL | |
| Mental Health Counselor | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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