MOKHTAR KHALED ELSAYED RADWAN (DO) – Internal Medicine Physician, NPI 1831694918
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
614 INTERVENTIONAL CARDIOLOGY in FL
Provider Addresses for MOKHTAR KHALED ELSAYED RADWAN (DO)
202, West 68th Street, Hialeah, Miami-Dade County, Florida, 33014, United States
HIALEAH, FL 330161801
Phone:
Type: Mailing
4901 International Pkwy Ste 1031
Sanford, FL 327718603
Phone: (352) 343-1158
Fax: (352) 343-8106
Type: Location
2111 SW 20TH PL
OCALA, FL 344717734
Phone: (352) 622-4251
Type: Mailing
1825 SALK AVE
TAVARES, FL 327784311
Phone: (352) 343-1158
Fax: (352) 343-8106
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $2,542.
Total Amount is formed as General ($2,542) + Research ($0) + Ownership ($0) = $2,542.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($1,274).
Total Amount
$2,542
General + Research + Ownership
Payments
28
Total payment records
General Amount
$2,542
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Edwards Lifesciences Corporation | $1,274 |
| Boston Scientific Corporation | $383 |
| Shockwave Medical, Inc | $322 |
| Medtronic, Inc. | $161 |
| AstraZeneca Pharmaceuticals LP | $115 |
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: 2025-05-14
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 |
|---|---|---|---|---|
| I20250514000384 | I | Interventional Cardiology | 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 33016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Physician Assistant | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL | |
| Nurse Practitioner | FL | |
| Cardiac Electrophysiology, Advanced Heart Failure And Transplant Cardiology | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear Medicine, Peripheral Vascular Disease | FL | |
| Cardiovascular Disease (Cardiology) | TX |
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