DR. DAVID RIDDER (M.D.) – Trauma Surgery Physician, NPI 1154778207
Trauma Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,317 GENERAL SURGERY in CA
Provider Addresses for DR. DAVID RIDDER (M.D.)
101 BODIN CIRCLE
60 MDG
TRAVIS AFB, CA 94535
Phone:
Type: Mailing
101 BODIN CIR
60 MDG
TRAVIS AFB, CA 945351809
Phone: (707) 423-7612
Type: Location
1800 W Charleston Blvd
Las Vegas, NV 891022386
Phone: (702) 383-2000
Type: Location
4700 Las Vegas Blvd N
Nellis AFB, NV 891916600
Phone: (702) 653-2273
Type: Location
4700 LAS VEGAS BLVD N
NELLIS AFB, NV 891916600
Phone: (702) 653-2273
Type: Mailing
1851 MESQUITE AVE STE 210
LAKE HAVASU CITY, AZ 864035681
Phone: (928) 854-7540
Fax: (928) 885-4240
Type: Location
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: 2025-02-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240926002985 | I | General Surgery | AZ | TBD |
| I20250203001234 | I | General Surgery | NV | TBD |
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.
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 94535)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | NV | |
| - | NV | |
| Obstetrics/Gynecology, Family Practice | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV | |
| - | NV |
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