JUAN D VIDAL (PA-C) – Physician Assistant, NPI 1922384098
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JUAN D VIDAL (PA-C)
6101 BLUE LAGOON DR STE 400
MIAMI, FL 331262051
Phone: (305) 500-2000
Type: Mailing
3 SW 129TH AVE
PEMBROKE PINES, FL 330271775
Phone: (954) 433-4200
Type: Location
6101 BLUE LAGOON DR STE 200
MIAMI, FL 331263168
Phone: (305) 500-2000
Type: Mailing
11460 PINES BLVD
PEMBROKE PINES, FL 330264128
Phone: (954) 433-4200
Type: Location
1316 N State Road 7
Margate, FL 330632843
Phone: (954) 968-9993
Fax: (954) 968-9910
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 $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-09-27 • Largest payer in this snapshot: PFIZER INC. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $24 |
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: 2014-05-20
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 |
|---|---|---|---|---|
| I20140520000117 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 139 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 113 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 22 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 23 | 23 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 17 | 15 | $0 |
Insurance plans in this area (ZIP 33126)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Family Practice | FL | |
| General Practice | FL | |
| Nurse Practitioner | FL |
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