MR. DENNIS MALATE REDUBLA – Family Nurse Practitioner, NPI 1053633206
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Phathom Pharmaceuticals, Inc. | $27 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160808001991 | I | Nurse Practitioner | CA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 2,077 | 261 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 105 | 61 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 87 | 58 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 62 | 42 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physical Medicine And Rehabilitation | FL | |
| Physician Assistant | NV | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA |
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