PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C. – Pediatric Cardiology Physician, NPI 1164445367
Pediatric Cardiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PEDIATRIX CARDIOLOGY OF WASHINGTON, P.C.
1301 CONCORD TER
SUNRISE, FL 333232843
Phone: (800) 243-3839
Fax: (844) 686-2961
Type: Mailing
770, The City Drive South, Orange, Orange County, California, 92868, United States
SUITE 4000
ORANGE, CA 928684900
Phone: (800) 463-6628
Fax: (714) 620-3008
Type: Mailing
314, Martin Luther King Jr Way, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States
STE. 303
TACOMA, WA 984054250
Phone: (253) 396-4868
Fax: (253) 396-4870
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: 2007-02-20
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 |
|---|---|---|---|---|
| O20070220000217 | O | Clinic/Group Practice | WA | 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 33323)
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