DR. JEREMIAH STITHAM (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1366820490

DR. JEREMIAH STITHAM (MD) is a healthcare provider. based in Waterbury, Connecticut. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2021038045 (MO). The NPI Number for DR. JEREMIAH STITHAM (MD) is 1366820490

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEREMIAH STITHAM (MD)
NPI
1366820490
Phone
(203) 537-6162
Address
64 ROBBINS ST
Enumeration Date
8 May 2015
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3147473000
Graduation Year
2010 (16 years ago)
PAC ID
8022366129
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20221007001291
Address ID
MO631101003SA1XXXXPLZX500

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

222 ENDOCRINOLOGY in CT

Provider Addresses for DR. JEREMIAH STITHAM (MD)

  • 64 ROBBINS ST

    WATERBURY HOSPITAL

    WATERBURY, CT 067082613

    Phone: (203) 537-6162

    Fax: (203) 537-6707

    Type: Mailing

  • 160 ROBBINS ST

    CHASE OUTPATIENT CENTER

    WATERBURY, CT 06708

    Phone: (203) 573-7284

    Fax: (203) 573-7031

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-3500

    Fax: (314) 230-1119

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    DIV IM ENDOCRINOLOGY

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-3500

    Fax: (314) 230-1119

    Type: Location

  • 660 S EUCLID AVE

    CB 8127

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-3500

    Fax: (314) 230-1119

    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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Novo Nordisk Inc ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$38
View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-07

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
I20221007001291IEndocrinologyMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12976$0
99214Established patient office or other outpatient visit, 30-39 minutes5638$0
83036Hemoglobin a1c level4733$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3635$0
82962Blood glucose (sugar) test performed by hand-held instrument3322$0
View full utilization report →

Insurance plans in this area (ZIP 06708)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. JEREMIAH STITHAM (MD) in U.S. healthcare records?
The official identifier for DR. JEREMIAH STITHAM (MD) is NPI 1366820490.
Is DR. JEREMIAH STITHAM (MD) still an active registrant?
DR. JEREMIAH STITHAM (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JEREMIAH STITHAM (MD)?
At a glance, DR. JEREMIAH STITHAM (MD) is tied to Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Where in Connecticut is DR. JEREMIAH STITHAM (MD) registered?
Use Waterbury, Connecticut as the headline location for DR. JEREMIAH STITHAM (MD) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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