DR. JESUSA MILALAINE TERRADO FORTU (MD) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1881678290
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JESUSA MILALAINE TERRADO FORTU (MD)
3901 W STATE ROAD 84
#107
DAVIE, FL 333128827
Phone: (954) 530-2660
Fax: (954) 530-2660
Type: Mailing
231 E Chestnut St
Louisville, KY 402021821
Phone: (502) 629-6000
Fax: (502) 852-8556
Type: Location
12300 NW 10TH ST
PLANTATION, FL 333232504
Phone: (502) 889-8200
Type: Mailing
1000 JOE DIMAGGIO DR
PEDIATRIC EMERGENCY DEPARTMENT
HOLLYWOOD, FL 330215426
Phone: (954) 987-2000
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: 2025-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20071009000351 | I | Pediatric Medicine | FL | TBD |
| I20250411000340 | I | Pediatric Medicine | KY | 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 33312)
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