Las Mercedes Medical Center VIII, Inc – Geriatric Medicine (Internal Medicine) Physician, NPI 1144868589
Geriatric Medicine (Internal Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Las Mercedes Medical Center VIII, Inc
6355 NW 36TH ST BLDG STE 1100
VIRGINIA GARDENS, FL 331667009
Phone: (786) 233-6981
Fax: (786) 322-2317
Type: Mailing
8251 W BROWARD BLVD STE 200-210
PLANTATION, FL 333242703
Phone: (954) 334-3131
Fax: (954) 334-3132
Type: Location
2387 W 68TH ST STE 600
HIALEAH, FL 330166889
Phone: (786) 233-6981
Fax: (786) 322-2317
Type: Mailing
8251 W BROWARD BLVD STE 208
PLANTATION, FL 333242703
Phone: (786) 233-6981
Fax: (786) 322-2317
Type: Location
8251 W BROWARD BLVD STE 200-208
PLANTATION, FL 333242703
Phone: (954) 334-3131
Fax: (954) 334-3132
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.
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 |
|---|---|---|---|---|
| O20041119000908 | O | Clinic/Group Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33166)
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