J WALDEN RETAN (M.D.) – Internal Medicine Physician, NPI 1225104094

J WALDEN RETAN (M.D.) is a healthcare provider. based in Talladega, Alabama. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 3223 (AL). The NPI Number for J WALDEN RETAN (M.D.) is 1225104094

Main info

Male
Sole Proprietor
69 Years Of Experience
Accepts Medicare Assignment
Name
J WALDEN RETAN (M.D.)
NPI
1225104094
Phone
(205) 266-4928
Address
177 OAK RIDGE LN
Enumeration Date
25 November 2006
Last Update Date
5 February 2013

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
2059303200
Graduation Year
1957 (69 years ago)
PAC ID
0446200778
Group Practice PAC ID
0840629473
Professional Enrollment ID
I20050308000729
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for J WALDEN RETAN (M.D.)

  • 177, Oak Ridge Lane, Capri Islands, Lincoln, Talladega County, Alabama, 35160, United States

    TALLADEGA, AL 351608303

    Phone: (205) 266-4928

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$17
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: 2005-03-08

PECOS data refreshed: 2026-06-15

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
I20050308000729IInternal MedicineALTBD

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 35160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840629473View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Internal MedicineAL
Family PracticeMS
Nurse PractitionerAL
Nurse PractitionerAL
Diagnostic RadiologyFL
Internal MedicineAL
Diagnostic RadiologyGA
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the registry number for J WALDEN RETAN (M.D.)?
The registry entry for J WALDEN RETAN (M.D.) shows NPI 1225104094.
Does the public listing show J WALDEN RETAN (M.D.) as active?
J WALDEN RETAN (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say J WALDEN RETAN (M.D.) does?
Insurance directories may phrase it differently, but here J WALDEN RETAN (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to J WALDEN RETAN (M.D.)?
J WALDEN RETAN (M.D.) shows a connection to Talladega, Alabama in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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