DR. DOMINICK JOHN GADALETA (M.D.) – Facial Plastic Surgery Physician, NPI 1114339942

DR. DOMINICK JOHN GADALETA (M.D.) is a healthcare provider. based in Palo alto, California. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 169091 (CA). The NPI Number for DR. DOMINICK JOHN GADALETA (M.D.) is 1114339942

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOMINICK JOHN GADALETA (M.D.)
NPI
1114339942
Phone
(650) 321-7100
Address
1795 EL CAMINO REAL STE 200
Enumeration Date
28 May 2014
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8045136252
Graduation Year
2014 (12 years ago)
PAC ID
3870896244
Group Practice PAC ID
4587029681
Professional Enrollment ID
I20210413002828
Address ID
CA940252725ME120XXAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

641 OTOLARYNGOLOGY in PA

Provider Addresses for DR. DOMINICK JOHN GADALETA (M.D.)

  • 1795 EL CAMINO REAL STE 200

    PALO ALTO, CA 943061165

    Phone: (650) 321-7100

    Type: Mailing

  • 925 CHESTNUT ST

    6TH FLOOR

    PHILADELPHIA, PA 191074216

    Phone: (215) 955-5208

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $324.

Total Amount is formed as General ($324) + Research ($0) + Ownership ($0) = $324.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($155).

Total Amount

$324

General + Research + Ownership

Payments

11

Total payment records

General Amount

$324

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2021-04-13

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
I20210413002828IOtolaryngologyCATBD

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 94306)

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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: 4587029681View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryPA

Reviews

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Frequently asked questions

Can I verify DR. DOMINICK JOHN GADALETA (M.D.) with an NPI only?
You can start verification with NPI 1114339942 for DR. DOMINICK JOHN GADALETA (M.D.), then check state licensing separately.
Is DR. DOMINICK JOHN GADALETA (M.D.) listed as active for patients and plans?
The listing shows DR. DOMINICK JOHN GADALETA (M.D.) as active in the NPI system.
What healthcare role does DR. DOMINICK JOHN GADALETA (M.D.) hold?
Scheduling teams often label DR. DOMINICK JOHN GADALETA (M.D.) under Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DOMINICK JOHN GADALETA (M.D.) based?
DR. DOMINICK JOHN GADALETA (M.D.) is tied to Palo Alto, California in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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