FIRST DOCS PC – Internal Medicine Physician, NPI 1417655465
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FIRST DOCS PC
830 Lakeside Cir
Pompano Beach, FL 330607748
Phone: (609) 585-1122
Type: Location
1401 St Joseph Pkwy
Houston, TX 770028301
Phone: (609) 585-1122
Type: Location
PO BOX 7411009
CHICAGO, IL 606743009
Phone: (702) 762-2485
Fax: (609) 585-0309
Type: Mailing
1525 OXFORD LN
NAPERVILLE, IL 605651511
Phone: (702) 762-2485
Fax: (609) 585-0309
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: 2026-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
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 |
|---|---|---|---|---|
| O20230511002435 | O | Clinic/Group Practice | TN | TBD |
| O20230515002474 | O | Clinic/Group Practice | SD | TBD |
| O20230821002474 | O | Clinic/Group Practice | WI | TBD |
| O20240301002976 | O | Clinic/Group Practice | MD | TBD |
| O20240315000356 | O | Clinic/Group Practice | SC | TBD |
| O20240514000701 | O | Clinic/Group Practice | IL | TBD |
| O20240606002364 | O | Clinic/Group Practice | FL | TBD |
| O20240702000192 | O | Clinic/Group Practice | NY | TBD |
| O20240826000019 | O | Clinic/Group Practice | DE | TBD |
| O20250423003020 | O | Clinic/Group Practice | CA | TBD |
| O20250613001609 | O | Clinic/Group Practice | TX | TBD |
| O20260206001814 | O | Clinic/Group Practice | DC | 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 33060)
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