DEETI J PITHADIA (MD) – Pediatric Dermatology Physician, NPI 1396373130
Pediatric Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,262 PEDIATRIC MEDICINE in MA
Provider Addresses for DEETI J PITHADIA (MD)
17 PINECREEK DR
COLUMBUS, GA 319042978
Phone: (706) 587-7236
Type: Mailing
55 FRUIT ST
BOSTON, MA 021142621
Phone: (706) 587-7236
Type: Location
9500 EUCLID AVE
CLEVELAND, OH 441950001
Phone:
Type: Mailing
1701 Divisadero St Fl 3
San Francisco, CA 941153011
Phone: (706) 587-7236
Type: Location
450 Broadway St Fl C2
Pavilion B, 4th Floor
Redwood City, CA 940633132
Phone: (650) 723-6316
Fax: (650) 721-3476
Type: Location
55 Fruit St
Boston, MA 021142621
Phone: (706) 587-7236
Type: Location
450 BROADWAY, PAVILION C, 2ND FLOOR
REDWOOD CITY, CA 94063
Phone: (650) 723-6316
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $471.
Total Amount is formed as General ($471) + Research ($0) + Ownership ($0) = $471.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($249).
Total Amount
$471
General + Research + Ownership
Payments
5
Total payment records
General Amount
$471
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $249 |
| Janssen Biotech, Inc. | $130 |
| Dermavant Sciences, Inc. | $69 |
| Amgen Inc. | $23 |
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: 2025-11-14
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20240723003419 | I | Dermatology | CA | TBD |
| I20251114002871 | I | Pediatric Medicine | OH | 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 31904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Family Practice | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN |
Reviews
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