POMPANO PEDIATRICS – Federally Qualified Health Center (FQHC), NPI 1255376067

POMPANO PEDIATRICS is a healthcare provider. based in Fort lauderdale, Florida. specializing in Federally Qualified Health Center (FQHC). The NPI Number for POMPANO PEDIATRICS is 1255376067

Main info

Organization
Name
POMPANO PEDIATRICS
NPI
1255376067
Phone
(954) 785-4273
Address
1700 NW 49TH ST STE 125
Authorized Official
ALISA BERT INTERIM CFO
Enumeration Date
17 June 2006
Last Update Date
13 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for POMPANO PEDIATRICS

  • Northwest 49th Street, Fort Lauderdale, Broward County, Florida, 33309, United States

    FORT LAUDERDALE, FL 333093750

    Phone: (954) 785-4273

    Fax: (954) 784-9249

    Type: Mailing

  • 601, West Atlantic Boulevard, Pompano Beach, Broward County, Florida, 33060, United States

    POMPANO BEACH, FL 330605916

    Phone: (954) 785-4273

    Fax: (954) 784-9249

    Type: Location

  • 1608 SE 3RD AVE FL 3

    FORT LAUDERDALE, FL 333162564

    Phone: (954) 785-4273

    Fax: (954) 784-9249

    Type: Mailing

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: 2021-07-19

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
O20210719003309OFederally Qualified Health Center (Fqhc)FLTBD

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 33309)

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Reviews

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Frequently asked questions

How do I look up POMPANO PEDIATRICS by NPI?
Use NPI 1255376067 when you need to reference POMPANO PEDIATRICS in forms, claims, or directories.
Is POMPANO PEDIATRICS active in the national directory?
POMPANO PEDIATRICS's public NPI profile is in an active state.
What field does POMPANO PEDIATRICS work in?
You can think of POMPANO PEDIATRICS as practicing within Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What location shows for POMPANO PEDIATRICS?
We surface Fort Lauderdale, Florida for POMPANO PEDIATRICS based on available NPPES addresses.
How can I contact POMPANO PEDIATRICS?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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