DR. EDUARDO FAUSTO BOLUMEN (M.D.) – Pediatrics Physician, NPI 1174582639
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. EDUARDO FAUSTO BOLUMEN (M.D.)
201 HILDA ST STE 10
KISSIMMEE, FL 347412359
Phone: (407) 574-4848
Fax: (407) 518-1919
Type: Location
12650 SW 33RD ST
MIRAMAR, FL 330272913
Phone: (954) 437-3423
Type: Location
Happy Start Child Care and Kindergarten, 11300, Northwest 87th Court, Hialeah Gardens, Miami-Dade County, Florida, 33018, United States
SUITE 109
HIALEAH GARDENS, FL 330184586
Phone: (305) 362-0409
Fax: (305) 362-4042
Type: Location
12650, Southwest 33rd Street, Miramar, Broward County, Florida, 33027, United States
MIRAMAR, FL 330272913
Phone: (954) 437-3423
Fax: (305) 362-4042
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $184.
Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Phadia US Inc. ($112).
Total Amount
$184
General + Research + Ownership
Payments
5
Total payment records
General Amount
$184
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Phadia US Inc. | $112 |
| Cranial Technologies, Inc | $36 |
| Merck Sharp & Dohme LLC | $19 |
| SANOFI-AVENTIS U.S. LLC | $17 |
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: 2016-10-05
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 |
|---|---|---|---|---|
| I20161005003075 | I | Pediatric Medicine | 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 34741)
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