DR. SHLOMO TENDLER (MD) – Obstetrics & Gynecology Physician, NPI 1104210038

DR. SHLOMO TENDLER (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME138374 (FL). The NPI Number for DR. SHLOMO TENDLER (MD) is 1104210038

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHLOMO TENDLER (MD)
NPI
1104210038
Phone
(757) 446-7920
Address
825 Fairfax Ave
Enumeration Date
28 March 2015
Last Update Date
21 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056736217
Graduation Year
2015 (11 years ago)
PAC ID
7113227232
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20200128002943
Address ID
FL331402893MI4302XRDXX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,164 OBSTETRICS/GYNECOLOGY in VA

Provider Addresses for DR. SHLOMO TENDLER (MD)

  • 825 Fairfax Ave

    Suite 544

    Norfolk, VA 235071914

    Phone: (757) 446-7920

    Fax: (757) 446-7464

    Type: Location

  • 4308 ALTON RD STE 790

    MIAMI, FL 331404558

    Phone: (305) 673-9270

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $504.

Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Astellas Pharma US Inc ($142).

Total Amount

$504

General + Research + Ownership

Payments

24

Total payment records

General Amount

$504

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2020-01-28

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
I20200128002943IObstetrics/GynecologyFLTBD

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 23507)

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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: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

What NPI should I save for DR. SHLOMO TENDLER (MD)?
Save NPI 1104210038 if you need a stable reference for DR. SHLOMO TENDLER (MD).
Is DR. SHLOMO TENDLER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. SHLOMO TENDLER (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for DR. SHLOMO TENDLER (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. SHLOMO TENDLER (MD)?
We surface Norfolk, Virginia for DR. SHLOMO TENDLER (MD) based on available NPPES addresses.
How can I contact DR. SHLOMO TENDLER (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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