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DR. NIDAL B RADWAN MD
NPI 1902856875
Family Medicine in North Miami Beach, FL

Active since May 11, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2089293 · Waiver
10.57/100
CMS Quality Rating
18100 NE 19TH AVE STE 102, NORTH MIAMI BEACH, FL 33162(754) 201-7029(305) 948-3934 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Nidal B Radwan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NIDAL B RADWAN MD (NPI 1902856875) is an individual family medicine provider in North Miami Beach, Florida, licensed in Florida (ME0071068) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 19, 2027, and is affiliated with Steward North Shore Medical Center.

NPPES Registry Identity

NPI1902856875
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NIDAL B RADWANCredential: MD
Location Address18100 NE 19TH AVE STE 102North Miami Beach, FL 33162-1606
Mailing Address18100 Ne 19th Avenue, Suite #102North Miami Beach, FL 33162-1606 · (305) 948-8900 · Fax (305) 948-3934
Phone(754) 201-7029
Fax(305) 948-3934
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateMay 11, 2006
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1902856875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0071068
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18100 NE 19TH AVE STE 102, North Miami Beach, FL 33162
Open in Google Maps ↗

Secondary Practice Location 1

Location 116401 NW 2nd Ave Ste 200North Miami Beach, FL 33169-6036 · Phone (305) 947-7196 · Fax (305) 947-7776

Other Identifiers 1

Medicaid117166200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nidal B Radwan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880589092
PECOS Enrollment IDI20040217000808
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nidal Radwan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nidal Radwan M.D. PA
Same address
Family Medicine
18100 NE 19TH AVENUE, SUITE #102
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Nidal Radwan MD PA
  • 7 clinicians in this Medicare group
NPI 1942259361 (305) 948-8900
Seasons Medical Group Of Florida PA
8.3 mi
Internal Medicine
5200 NE 2ND AVE, FL 3
Miami, FL 33137
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1710238381 (877) 731-9299

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2089293

Nidal B Radwan MD PA · North Miami Beach, FL
Active · expires Aug 19, 2027
CLIA Number10D2089293
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorNidal B. Radwan
Laboratory Phone(305) 948-8900
Laboratory LocationNidal B Radwan MD PA18100 NE 19th Ave Ste 102, North Miami Beach, FL 33162
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,247 services150 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
215 services142 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
211 services139 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
180 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services51 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services31 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100029
Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County
Emergency services Birthing friendly

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33162 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

10.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost35.25

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$61.52 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier12 claims72 services$25.09 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers28 claims28 services$44.27 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.82 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers16 claims16 services$40.63 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
2 suppliers13 claims14 services$4.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KARAN RAJPAL PA-C
Physician Assistant
18100 NE 19TH AVE STE 102
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 948-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nidal Radwan's NPI number?

The NPI number for Nidal Radwan is 1902856875. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Nidal Radwan located?

Nidal Radwan practices at 18100 NE 19th Ave Ste 102, North Miami Beach, FL 33162. The listed phone number is (754) 201-7029.

What is Nidal Radwan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nidal Radwan enrolled in Medicare?

Yes. Nidal Radwan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nidal Radwan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nidal Radwan reassigns Medicare benefits to 2 organizations: Nidal Radwan M.D. PA (North Miami Beach, FL) and Seasons Medical Group Of Florida PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nidal Radwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Nidal Radwan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2089293) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nidal Radwan accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 6 other insurers list Nidal Radwan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nidal Radwan affiliated with any hospitals?

According to CMS data, Nidal Radwan is affiliated with Steward North Shore Medical Center, Memorial Regional Hospital and Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Nidal Radwan was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.