DR. NIV E DECALO (M.D.) – Diagnostic Radiology Physician, NPI 1053511667
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
804 DIAGNOSTIC RADIOLOGY in CT
Provider Addresses for DR. NIV E DECALO (M.D.)
111 Founders Plz
Suite 400
East Hartford, CT 061083212
Phone: (860) 289-3375
Fax: (860) 783-5733
Type: Location
Cherry Lane, Manteca, San Joaquin County, California, 95336, United States
MANTECA, CA 953374398
Phone: (209) 647-2184
Fax: (209) 647-4684
Type: Mailing
Regional Medical Center of San Jose, 225, North Jackson Avenue, Little Portugal, San Jose, Santa Clara County, California, 95116, United States
SAN JOSE, CA 95116
Phone: (408) 259-5000
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.
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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: 2025-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130307000371 | I | Diagnostic Radiology | CA | TBD |
| I20250520001153 | I | Diagnostic Radiology | HI | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,474 | 1,163 | $0 |
| 70450 | Ct scan head or brain without contrast | 365 | 355 | $0 |
| 71046 | X-ray of chest, 2 views | 211 | 207 | $0 |
| 71250 | Ct scan of chest without contrast | 157 | 152 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 151 | 145 | $0 |
Insurance plans in this area (ZIP 06108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CT | 71010 | X-ray of chest, 1 view, front | 1517 | 1129 |
| DIAGNOSTIC RADIOLOGY | CT | 71250 | CT scan chest | 50 | 50 |
| DIAGNOSTIC RADIOLOGY | CT | 73562 | X-ray of knee, 3 views | 18 | 16 |
| DIAGNOSTIC RADIOLOGY | CT | 74177 | CT scan of abdomen and pelvis with contrast | 138 | 137 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic Radiology | CA | |
| - | CA | |
| Orthopedic Surgery | CA | |
| - | WV | |
| Diagnostic Radiology | CA | |
| - | TX | |
| General Surgery | CA | |
| Interventional Radiology, Diagnostic Radiology | IL |
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