VICTOR E. DE LOACH (M.D.) – General Practice Physician, NPI 1982693123
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for VICTOR E. DE LOACH (M.D.)
350 BAYSIDE PKWY
NOKOMIS, FL 342753458
Phone: (813) 482-4025
Type: Mailing
1505, Delaware Avenue, Glidden Park, Fort Pierce, St. Lucie County, Florida, 34950, United States
FORT PIERCE, FL 349503975
Phone: (772) 461-1402
Fax: (844) 540-4795
Type: Location
782 PLYMOUTH ST UNIT 12
HOLBROOK, MA 023431952
Phone:
Type: Mailing
5045 FRUITVILLE RD UNIT 123B
SARASOTA, FL 342322269
Phone: (772) 203-4613
Fax: (727) 290-4383
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: 2010-01-29
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 |
|---|---|---|---|---|
| I20050120000206 | I | General Practice | FL | TBD |
| I20100129000452 | I | General Practice | AL | 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 34275)
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