DR. ROME JUTABHA (M.D.) – Gastroenterology Physician, NPI 1790785434
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,981 GASTROENTEROLOGY in CA
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Provider Addresses for DR. ROME JUTABHA (M.D.)
Los Angeles, San Pablo Nuevo, Distrito David, Chiriquí, Panama
LOS ANGELES, CA 900335312
Phone: (323) 442-5100
Type: Location
PO BOX 31309
LOS ANGELES, CA 900310309
Phone: (323) 442-5100
Type: Mailing
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 $227.
Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: AnX Robotica Corp ($227).
Total Amount
$227
General + Research + Ownership
Payments
2
Total payment records
General Amount
$227
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AnX Robotica Corp | $227 |
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: 2005-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050715000593 | I | Gastroenterology | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 61 | 48 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 57 | 56 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 54 | 54 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 53 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 42 | $0 |
Insurance plans in this area (ZIP 90033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| U R O L O G Y | CA | |
| Diagnostic Radiology | NY | |
| Diagnostic Radiology | CA | |
| - | CA | |
| - | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| General Surgery | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| - | CA |
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