THOMAS W PELTOLA (MD) – Diagnostic Radiology Physician, NPI 1861484040

THOMAS W PELTOLA (MD) is a healthcare provider. based in Rancho mirage, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 33813 (MN). The NPI Number for THOMAS W PELTOLA (MD) is 1861484040

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS W PELTOLA (MD)
NPI
1861484040
Phone
(760) 674-3850
Address
39000 Bob Hope Dr
Enumeration Date
16 August 2005
Last Update Date
17 January 2025

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
7607731251
Graduation Year
1984 (42 years ago)
PAC ID
8628067279
Group Practice PAC ID
0749173789
Professional Enrollment ID
I20241213002981
Address ID
CA922703221RA39000DRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,793 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for THOMAS W PELTOLA (MD)

  • 39000 Bob Hope Dr

    Rancho Mirage, CA 922703221

    Phone: (760) 674-3850

    Type: Location

  • North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States

    ROBBINSDALE, MN 554222926

    Phone: (763) 559-2171

    Fax: (763) 694-9000

    Type: Location

  • 2800, Campus Drive, Plymouth, Hennepin County, Minnesota, 55441, United States

    #10

    PLYMOUTH, MN 554412645

    Phone: (763) 559-2171

    Fax: (763) 694-9000

    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: 2024-12-13

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
I20241213002981IDiagnostic RadiologyCATBD

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 92270)

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Provider's Procedures

THOMAS W PELTOLA (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMN71250CT scan chest3131
DIAGNOSTIC RADIOLOGYMN74177CT scan of abdomen and pelvis with contrast10096

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: 0749173789View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyNV
Diagnostic RadiologyNY
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic Radiology, Nuclear MedicineCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA

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Frequently asked questions

What number should I use to identify THOMAS W PELTOLA (MD) for billing?
Administrative and clinical systems typically use NPI 1861484040 for THOMAS W PELTOLA (MD).
Does the public listing show THOMAS W PELTOLA (MD) as active?
THOMAS W PELTOLA (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits THOMAS W PELTOLA (MD)?
NPPES ties THOMAS W PELTOLA (MD) to Diagnostic Radiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to THOMAS W PELTOLA (MD)?
The directory associates THOMAS W PELTOLA (MD) with Rancho Mirage, California. Check all listed addresses for suites or satellite offices.
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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