DR. PAMELA SHERIDAN (D.O.) – Dermatology Physician, NPI 1174910046

DR. PAMELA SHERIDAN (D.O.) is a healthcare provider. based in Fort lauderdale, Florida. specializing in Dermatology Physician. They hold the professional credentials D.O.. They hold a License No. 20A16330 (CA). The NPI Number for DR. PAMELA SHERIDAN (D.O.) is 1174910046

Main info

Female
Sole Proprietor
Name
DR. PAMELA SHERIDAN (D.O.)
NPI
1174910046
Phone
Not provided
Address
1600 S ANDREWS AVE
Enumeration Date
18 April 2015
Last Update Date
11 February 2022

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

Provider Addresses for DR. PAMELA SHERIDAN (D.O.)

  • 1600 S ANDREWS AVE

    FORT LAUDERDALE, FL 333162510

    Phone:

    Type: Mailing

  • 1 QUALITY DR

    VACAVILLE, CA 956889494

    Phone: (707) 624-3200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $255.

Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($132).

Total Amount

$255

General + Research + Ownership

Payments

3

Total payment records

General Amount

$255

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2021-01-26

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
I20210126000809IDermatologyCATBD

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 33316)

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Reviews

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Frequently asked questions

What NPI should I save for DR. PAMELA SHERIDAN (D.O.)?
Save NPI 1174910046 if you need a stable reference for DR. PAMELA SHERIDAN (D.O.).
Is DR. PAMELA SHERIDAN (D.O.)'s NPI currently valid?
The extract we use shows DR. PAMELA SHERIDAN (D.O.) as active.
Can you summarize DR. PAMELA SHERIDAN (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. PAMELA SHERIDAN (D.O.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. PAMELA SHERIDAN (D.O.)?
The snapshot lists Fort Lauderdale, Florida for DR. PAMELA SHERIDAN (D.O.); download NPPES for the complete set.
What if Fort Lauderdale, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.