DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.) – Diagnostic Radiology Physician, NPI 1154617835

DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.) is a healthcare provider. based in La jolla, California. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MT199632 (PA). The NPI Number for DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.) is 1154617835

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.)
NPI
1154617835
Phone
(619) 543-5493
Address
9500 Gilman Dr Dept 834
Enumeration Date
22 June 2011
Last Update Date
26 February 2020

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6716455500
Graduation Year
2011 (15 years ago)
PAC ID
8921390717
Group Practice PAC ID
9234351776
Professional Enrollment ID
I20180820002775
Address ID
GU969296911DE133XX3XXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

845 INTERVENTIONAL RADIOLOGY in CA

Provider Addresses for DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.)

  • 9500 Gilman Dr Dept 834

    University of California San Diego

    LA Jolla, CA 920930834

    Phone: (619) 543-5493

    Type: Location

  • 633 GOV CARLOS CAMACHO ROAD SUITE 210

    TAMUNING, GU 969130834

    Phone: (671) 649-1001

    Type: Mailing

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: 2018-08-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160715000091IDiagnostic RadiologyCATBD
I20180820002775IInterventional RadiologyGUTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg82680$0
77080Dxa bone density measurement of hip, pelvis, spine652652$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml51442$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance36179$0
76641Complete ultrasound scan of 1 breast307284$0
View full utilization report →

Insurance plans in this area (ZIP 92093)

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Provider's Procedures

DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYCA73562X-ray of knee, 3 views1716
INTERVENTIONAL RADIOLOGYCA73630X-ray of foot, minimum of 3 views3022

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: 9234351776View full group profile
NameSpecialtyState
Diagnostic RadiologyAZ
Diagnostic RadiologyNY
Emergency MedicineMI
Emergency MedicineCA
Diagnostic Radiology, Interventional RadiologyGU
Internal Medicine, HospitalistWA
Certified Registered Nurse Anesthetist (Crna)GA
Emergency MedicineMI
Certified Registered Nurse Anesthetist (Crna)TX
Internal Medicine, Infectious DiseaseMA

Reviews

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Frequently asked questions

Where can patients find DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.)'s NPI?
You can confirm DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.) with NPI 1154617835; it appears in the national provider directory.
Is DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.) active in the national directory?
DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.)'s public NPI profile is in an active state.
Does DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.)?
The page summarizes La Jolla, California for DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.); expand the address list for detail.
How can I contact DR. PEACHY MAE TADIFA PIANA-PACHECO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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