ADIB ANTOINE CHIDIAC, M.D., P.A. – Specialist, NPI 1215057922
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ADIB ANTOINE CHIDIAC, M.D., P.A.
PO BOX 50461
LIGHTHOUSE POINT, FL 330740461
Phone: (954) 366-6039
Fax: (954) 366-6851
Type: Mailing
1600 N FEDERAL HWY STE A
POMPANO BEACH, FL 330623229
Phone: (954) 366-6039
Fax: (954) 366-6851
Type: Location
3700 NE 31ST AVE
LIGHTHOUSE POINT, FL 330648431
Phone: (954) 366-6039
Fax: (954) 366-6851
Type: Mailing
601 E SAMPLE RD STE 103
DEERFIELD BEACH, FL 330644443
Phone: (954) 366-6039
Fax: (954) 366-6851
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: 2010-02-01
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 |
|---|---|---|---|---|
| O20100201000799 | 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 33074)
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