PRIMARY MEDICAL PHYSICIANS, LLC – General Practice Physician, NPI 1225622095
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PRIMARY MEDICAL PHYSICIANS, LLC
21000 NE 28th Ave Ste 203
Aventura, FL 331801421
Phone: (954) 399-9014
Type: Location
601 N Flamingo Rd Ste 304
Pembroke Pines, FL 330281010
Phone: (954) 399-9014
Type: Location
6517 TAFT ST STE 102
HOLLYWOOD, FL 330244063
Phone: (954) 399-9014
Fax: (954) 367-7175
Type: Location
7050 TAFT ST
HOLLYWOOD, FL 330243804
Phone: (305) 992-0659
Fax: (954) 563-6048
Type: Location
3800 Johnson St Ste E
Hollywood, FL 330216052
Phone: (954) 637-7809
Type: Location
10650 w State Rd 84 Suite 104
Davie, FL 333243804
Phone: (954) 399-9014
Type: Location
320 S State Road 7 Ste 100
Plantation, FL 333173717
Phone: (954) 399-9014
Type: Location
7630 SW 34 Manor Suite 400
Davie, FL 333283804
Phone: (954) 399-9014
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: 2022-01-27
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 |
|---|---|---|---|---|
| O20220127001436 | 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 33180)
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