THIAGO ASSIS MOULIN (MD) – Internal Medicine Physician, NPI 1861018541

THIAGO ASSIS MOULIN (MD) is a healthcare provider. based in Plantation, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. ME168188 (FL). The NPI Number for THIAGO ASSIS MOULIN (MD) is 1861018541

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
THIAGO ASSIS MOULIN (MD)
NPI
1861018541
Phone
(954) 792-6411
Address
499 NW 70TH AVE STE 100
Enumeration Date
18 June 2020
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547926411
Graduation Year
2015 (11 years ago)
PAC ID
0547688574
Group Practice PAC ID
4082709316
Professional Enrollment ID
I20240611001715
Address ID
FL333177572PL499XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for THIAGO ASSIS MOULIN (MD)

  • 499 NW 70TH AVE STE 100

    PLANTATION, FL 333177572

    Phone: (954) 792-6411

    Fax: (954) 792-7588

    Type: Mailing

  • 660 S EUCLID AVE # 8121

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-5000

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $723.

Total Amount is formed as General ($723) + Research ($0) + Ownership ($0) = $723.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($243).

Total Amount

$723

General + Research + Ownership

Payments

11

Total payment records

General Amount

$723

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

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: 2024-06-11

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
I20240611001715IOphthalmologyFLTBD

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 33317)

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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: 4082709316View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Does THIAGO ASSIS MOULIN (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — THIAGO ASSIS MOULIN (MD) uses 1861018541.
Is THIAGO ASSIS MOULIN (MD) listed as active for patients and plans?
The listing shows THIAGO ASSIS MOULIN (MD) as active in the NPI system.
What is THIAGO ASSIS MOULIN (MD) best known for clinically?
Directory data describes THIAGO ASSIS MOULIN (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does THIAGO ASSIS MOULIN (MD) serve?
THIAGO ASSIS MOULIN (MD)'s listing highlights Plantation, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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