DR. DOURED DAGHISTANI (M.D.) – Pediatric Hematology & Oncology Physician, NPI 1871580118

DR. DOURED DAGHISTANI (M.D.) is a healthcare provider. based in Miami, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME0047164 (FL). The NPI Number for DR. DOURED DAGHISTANI (M.D.) is 1871580118

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOURED DAGHISTANI (M.D.)
NPI
1871580118
Phone
(786) 594-4210
Address
9350 SUNSET DR
Enumeration Date
3 October 2005
Last Update Date
22 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056628360
Graduation Year
1981 (45 years ago)
PAC ID
3678519345
Group Practice PAC ID
3678536240
Professional Enrollment ID
I20050705000052
Address ID
FL331553009MI3100XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

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Provider Addresses for DR. DOURED DAGHISTANI (M.D.)

  • Sunset Drive, Starbrooke, Louisburg, Miami County, Kansas, 66053, United States

    STE 200

    MIAMI, FL 331733286

    Phone: (786) 594-4210

    Type: Mailing

  • Baptist Hospital of Miami, 8900, Southwest 88th Street, Miami, Miami-Dade County, Florida, 33176, United States

    MIAMI CANCER CENTER

    MIAMI, FL 331762118

    Phone: (786) 596-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-08-24 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($29).

Total Amount

$48

General + Research + Ownership

Payments

2

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-24

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2005-07-05

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
I20050705000052IPediatric MedicineFLTBD

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 33173)

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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: 3678536240View full group profile
NameSpecialtyState
Pediatric MedicineFL
Gastroenterology, Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineFL
Pediatric MedicineOK
O B S T E T R I C S/ G Y N E C O L O G YFL
Pediatric Medicine, GastroenterologyFL
Pediatric Medicine, EndocrinologyFL

Reviews

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Frequently asked questions

What is the standard ID for DR. DOURED DAGHISTANI (M.D.) in the U.S.?
In the U.S., DR. DOURED DAGHISTANI (M.D.) is identified by NPI 1871580118.
Is DR. DOURED DAGHISTANI (M.D.)'s NPI status active today?
Active status means DR. DOURED DAGHISTANI (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. DOURED DAGHISTANI (M.D.)?
NPPES ties DR. DOURED DAGHISTANI (M.D.) to Pediatric Hematology & Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DOURED DAGHISTANI (M.D.)?
DR. DOURED DAGHISTANI (M.D.) shows a connection to Miami, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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