DHAKSHITHA PEDDISETTY (MD) – Pediatric Pulmonology Physician, NPI 1093376964

DHAKSHITHA PEDDISETTY (MD) is a healthcare provider. based in Mobile, Alabama. specializing in PULMONARY DISEASE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. A176913 (CA). The NPI Number for DHAKSHITHA PEDDISETTY (MD) is 1093376964

Main info

Female
8 Years Of Experience
Name
DHAKSHITHA PEDDISETTY (MD)
NPI
1093376964
Phone
(251) 434-3915
Address
2451 UNIVERSITY HOSPITAL DR RM 714
Enumeration Date
21 June 2019
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
8628498151
Professional Enrollment ID
I20260213001265
Address ID
CA912064194GL1530XDRXX505
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

256 PULMONARY DISEASE in AL

Provider Addresses for DHAKSHITHA PEDDISETTY (MD)

  • 2451 UNIVERSITY HOSPITAL DR RM 714

    MOBILE, AL 366172300

    Phone: (251) 434-3915

    Fax: (251) 415-1387

    Type: Mailing

  • 9300 VALLEY CHILDRENS PL # 10

    MADERA, CA 936368761

    Phone: (559) 353-5550

    Type: Mailing

  • 9300 VALLEY CHILDRENS PL

    MADERA, CA 936368761

    Phone: (559) 353-5550

    Type: Location

  • 12750 CENTRALIA ST UNIT 215

    LAKEWOOD, CA 907152426

    Phone:

    Type: Mailing

  • 2801 ATLANTIC AVE

    LONG BEACH, CA 908061701

    Phone: (562) 933-3806

    Fax: (562) 933-3888

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2024-04-11 • Largest payer in this snapshot: GENZYME CORPORATION ($122).

Total Amount

$161

General + Research + Ownership

Payments

2

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260213001265IPulmonary DiseaseCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 36617)

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Reviews

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Frequently asked questions

How do payers reference DHAKSHITHA PEDDISETTY (MD)?
For DHAKSHITHA PEDDISETTY (MD), use NPI 1093376964 as the unique 10-digit identifier.
Would DHAKSHITHA PEDDISETTY (MD) appear as active to a payer?
You can treat DHAKSHITHA PEDDISETTY (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DHAKSHITHA PEDDISETTY (MD)?
DHAKSHITHA PEDDISETTY (MD) is associated with Pediatric Pulmonology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DHAKSHITHA PEDDISETTY (MD) located near Mobile?
DHAKSHITHA PEDDISETTY (MD) currently maps to Mobile, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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