PACIFIC PODIATRY – Podiatrist, NPI 1649662362
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PACIFIC PODIATRY
7701 SW 180TH TER
PALMETTO BAY, FL 331576218
Phone: (786) 531-9780
Fax: (305) 642-1298
Type: Mailing
7480 BIRD RD STE 550
MIAMI, FL 331556656
Phone: (786) 322-3111
Fax: (305) 642-1298
Type: Location
351 N LEJEUNE RD
SUITE 315
MIAMI, FL 331265683
Phone: (305) 986-4584
Type: Location
85 GRAND CANAL DR STE 407
MIAMI, FL 331442571
Phone: (786) 322-3111
Fax: (305) 554-4408
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: 2023-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (616 days ago).
Enrollment records
2
Earliest due date
2024-09-30
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 |
|---|---|---|---|---|
| O20150727002739 | O | Clinic/Group Practice | FL | 2024-09-30 |
| O20230131002269 | O | Physician - Podiatry | FL | 2026-01-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 33157)
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