NEIL THOMAS TUCKER (MD) – Pediatric Gastroenterology Physician, NPI 1952354151

NEIL THOMAS TUCKER (MD) is a healthcare provider. based in Fort lauderdale, Florida. specializing in GASTROENTEROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. ME0060194 (FL). The NPI Number for NEIL THOMAS TUCKER (MD) is 1952354151

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
NEIL THOMAS TUCKER (MD)
NPI
1952354151
Phone
(954) 832-0332
Address
1700 NW 49TH ST STE 125
Enumeration Date
18 May 2006
Last Update Date
11 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9542101000
Graduation Year
1980 (46 years ago)
PAC ID
1951326792
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20051011000155
Address ID
FL331361005MI1601XFLRX601
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

1,474 GASTROENTEROLOGY in FL

Provider Addresses for NEIL THOMAS TUCKER (MD)

  • Northwest 49th Street, Fort Lauderdale, Broward County, Florida, 33309, United States

    FORT LAUDERDALE, FL 333093750

    Phone: (954) 832-0332

    Fax: (954) 832-0289

    Type: Mailing

  • 1625 SE 3RD AVE STE 200

    FORT LAUDERDALE, FL 333162521

    Phone: (954) 832-0332

    Fax: (954) 832-0289

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-10-11

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
I20051011000155IGastroenterologyFLTBD

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 33309)

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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: 3274795109View full group profile

Reviews

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Frequently asked questions

How is NEIL THOMAS TUCKER (MD) identified in CMS data?
CMS-hosted NPPES data lists NEIL THOMAS TUCKER (MD) with NPI 1952354151.
Is NEIL THOMAS TUCKER (MD) listed as active for patients and plans?
The listing shows NEIL THOMAS TUCKER (MD) as active in the NPI system.
What taxonomy line describes NEIL THOMAS TUCKER (MD)?
For research purposes, treat NEIL THOMAS TUCKER (MD) as Pediatric Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does NEIL THOMAS TUCKER (MD) list a practice location?
Patients near Fort Lauderdale, Florida may find NEIL THOMAS TUCKER (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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