SHRUTI NIKETAN TEWAR (M.D.) – Developmental - Behavioral Pediatrics Physician, NPI 1477787638
Developmental - Behavioral Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,309 PEDIATRIC MEDICINE in FL
Provider Addresses for SHRUTI NIKETAN TEWAR (M.D.)
2435 LEE RD
WINTER PARK, FL 327891755
Phone: (407) 564-3375
Fax: (407) 564-3379
Type: Mailing
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 722023500
Phone: (501) 364-1100
Fax: (501) 364-4082
Type: Mailing
1 CHILDRENS WAY DEPT OF
LITTLE ROCK, AR 722023500
Phone: (501) 364-1830
Fax: (501) 978-6492
Type: Location
University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States
DEPARTMENT OF PEDIATRICS
IOWA CITY, IA 522421009
Phone: (319) 356-7044
Fax: (319) 356-8284
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.
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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: 2025-12-04
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 |
|---|---|---|---|---|
| I20210317001403 | I | Pediatric Medicine | AR | TBD |
| I20251204001753 | I | Pediatric Medicine | IL | 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 32789)
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