MR. DENNIS MALATE REDUBLA – Family Nurse Practitioner, NPI 1053633206

MR. DENNIS MALATE REDUBLA is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 95004480 (CA). The NPI Number for MR. DENNIS MALATE REDUBLA is 1053633206

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. DENNIS MALATE REDUBLA
NPI
1053633206
Phone
(702) 899-0595
Address
PO BOX 7410882
Enumeration Date
15 February 2010
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5593210883
Graduation Year
2016 (10 years ago)
PAC ID
7719271105
Group Practice PAC ID
4385014042
Professional Enrollment ID
I20160808001991
Address ID
CA937200300FR3034XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:16State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MR. DENNIS MALATE REDUBLA

  • PO BOX 7410882

    CHICAGO, IL 606740882

    Phone: (702) 899-0595

    Fax: (702) 977-1496

    Type: Mailing

  • 1925 E HOUSTON AVE

    VISALIA, CA 932922345

    Phone: (872) 231-3162

    Type: Location

  • 30 E RIVER PARK PL W STE 320

    FRESNO, CA 937201539

    Phone: (559) 412-8910

    Fax: (559) 492-1111

    Type: Mailing

  • 685 W ALLUVIAL AVE STE 103

    FRESNO, CA 937115779

    Phone: (559) 499-1233

    Fax: (559) 499-1132

    Type: Mailing

  • 2131 HERNDON AVE STE 103

    CLOVIS, CA 936116304

    Phone: (559) 578-8844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2016-08-08

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
I20160808001991INurse PractitionerCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2,077261$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes10561$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)8758$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)6242$0
90962Dialysis services, 1 physician visit per month (20 years or older)1212$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

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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: 4385014042View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerTN
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physical Medicine And RehabilitationFL
Physician AssistantNV
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. DENNIS MALATE REDUBLA?
NPI 1053633206 is assigned to MR. DENNIS MALATE REDUBLA under the national enumeration system.
Is MR. DENNIS MALATE REDUBLA currently active in the NPI registry?
CMS-published data lists MR. DENNIS MALATE REDUBLA as an active registrant.
What field does MR. DENNIS MALATE REDUBLA work in?
You can think of MR. DENNIS MALATE REDUBLA as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. DENNIS MALATE REDUBLA?
The page summarizes Chicago, Illinois for MR. DENNIS MALATE REDUBLA; expand the address list for detail.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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