KAVITA DHODAPKAR (MD) – Pediatric Hematology & Oncology Physician, NPI 1407980857
Pediatric Hematology & Oncology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
414 PEDIATRIC MEDICINE in CT
Provider Addresses for KAVITA DHODAPKAR (MD)
20 YORK STREET
PEDIATRIC HEMATOLOGY ONCOLOGY
NEW HAVEN, CT 065208064
Phone: (203) 785-4640
Type: Mailing
825 EASTLAKE AVE E
SEATTLE, WA 981094405
Phone: (206) 520-5000
Type: Location
PO BOX 50095
SEATTLE, WA 981455095
Phone:
Type: Mailing
1405 CLIFTON RD NE
ATLANTA, GA 303221060
Phone: (404) 785-1112
Fax: (404) 785-6288
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $7,200.
Total Amount is formed as General ($7,200) + Research ($0) + Ownership ($0) = $7,200.
Last reported payment date: 2024-09-06 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($7,200).
Total Amount
$7,200
General + Research + Ownership
Payments
11
Total payment records
General Amount
$7,200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Pharmaceuticals, Inc. | $7,200 |
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: 2025-09-19
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 |
|---|---|---|---|---|
| I20250919001093 | I | Pediatric Medicine | WA | 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 06520)
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