JUNIOR WILLIAM PITTACK (MD) – Psychiatry Physician, NPI 1023053931

JUNIOR WILLIAM PITTACK (MD) is a healthcare provider. based in Miami, Florida. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. ME89943 (FL). The NPI Number for JUNIOR WILLIAM PITTACK (MD) is 1023053931

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JUNIOR WILLIAM PITTACK (MD)
NPI
1023053931
Phone
(305) 254-5961
Address
11320 SW 112TH CIRCLE LN E
Enumeration Date
17 June 2006
Last Update Date
15 October 2013

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
3054243120
Graduation Year
2000 (26 years ago)
PAC ID
3678576865
Group Practice PAC ID
9931177334
Professional Enrollment ID
I20060808000260
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JUNIOR WILLIAM PITTACK (MD)

  • 11320 SW 112TH CIRCLE LN E

    MIAMI, FL 331763861

    Phone: (305) 254-5961

    Type: Mailing

  • Citrus Health Network, 4175, West 20th Avenue, Hialeah, Miami-Dade County, Florida, 33012, United States

    HIALEAH, FL 330125874

    Phone: (305) 825-0300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $2,921.

Total Amount is formed as General ($2,921) + Research ($0) + Ownership ($0) = $2,921.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($847).

Total Amount

$2,921

General + Research + Ownership

Payments

47

Total payment records

General Amount

$2,921

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-08-08

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
I20060808000260IPsychiatryFLTBD

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 33176)

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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: 9931177334View full group profile
NameSpecialtyState
Nurse PractitionerFL
P S Y C H I A T R YFL
Psychiatry, General PracticeFL
Nurse PractitionerFL
-FL
P S Y C H I A T R YTX
Emergency MedicineFL
P S Y C H I A T R YFL
-FL
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

What is the registry number for JUNIOR WILLIAM PITTACK (MD)?
The registry entry for JUNIOR WILLIAM PITTACK (MD) shows NPI 1023053931.
Does the public listing show JUNIOR WILLIAM PITTACK (MD) as active?
JUNIOR WILLIAM PITTACK (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret JUNIOR WILLIAM PITTACK (MD)'s specialty?
The extract shows Psychiatry Physician for JUNIOR WILLIAM PITTACK (MD). Clinical services aligned with this taxonomy classification.
What city is tied to JUNIOR WILLIAM PITTACK (MD)?
The directory associates JUNIOR WILLIAM PITTACK (MD) with Miami, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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