KATHLEEN M. PIACQUADIO (MD) – Obstetrics & Gynecology Physician, NPI 1124176946
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
201 OBSTETRICS/GYNECOLOGY in ID
Provider Addresses for KATHLEEN M. PIACQUADIO (MD)
980 W Ironwood Dr Ste 306
Coeur D Alene, ID 838142668
Phone: (208) 625-4970
Fax: (208) 625-4991
Type: Location
Kaiser Permanente Zion Medical Center, 4647, Zion Avenue, Grantville, Allied Gardens, San Diego, San Diego County, California, 92120, United States
SAN DIEGO, CA 921202507
Phone: (619) 528-5000
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20101201000344 | I | Obstetrics/Gynecology | CA | TBD |
| I20251104003714 | I | Maternal & Fetal Medicine | WA | TBD |
| I20260226003500 | I | Obstetrics/Gynecology | ID | 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 83814)
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