HETAL DUTIA (OTR) – Occupational Therapist, NPI 1205044690

Occupational Therapist

HETAL DUTIA (OTR) is a healthcare provider. based in Orland park, Illinois. specializing in Occupational Therapist. They hold the professional credentials OTR. They hold a License No. 056007045 (IL). The NPI Number for HETAL DUTIA (OTR) is 1205044690

Main info

Female

28 Years Of Experience

Accepts Medicare Assignment

Name

HETAL DUTIA (OTR)

NPI

1205044690

Phone

(708) 349-6544

Address

16170 KINGSPORT RD

Enumeration Date

18 May 2007

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6307783475

Graduation Year

1998 (28 years ago)

PAC ID

5799117834

Group Practice PAC ID

8325959554

Professional Enrollment ID

I20191112001434

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for HETAL DUTIA (OTR)

16170, Kingsport Road, Alpine, Orland Park, Orland Township, Cook County, Illinois, 60467, United States
ORLAND PARK, IL 604675602
Phone: (708) 349-6544
Type: Location
483, Blodgett Court, Knoch Knolls, Naperville, Wheatland Township, Will County, Illinois, 60565, United States
NAPERVILLE, IL 605654330
Phone: (708) 349-6544
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: 2019-11-12

PECOS data refreshed: 2026-06-15

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

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
I20191112001434	I	Occupational Therapist In Private Practice	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60467)

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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: 8325959554View full group profile

Name	Specialty	State
HANNAH KATHERINE KMET	Qualified Speech Language Pathologist	IL
CHRISTINE GARCIA	Physical Therapist In Private Practice	IL
LARISSA HAMPTON	Occupational Therapist In Private Practice	WI
TODD RIEFENBERG	Occupational Therapist In Private Practice	IL
MRS. SUMITHRA RAJENDRAN	-	WI
CAMILLE MARIE KOCH (DPT)	Physical Therapist In Private Practice	WI
ASHLEY MICHELLE BURNETT	-	WI
JOHN DUGUAY (DPT)	-	WI
REBECCA M CASSITY (OT)	-	WI
ALEXA AKANA	-	IL

Reviews

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Frequently asked questions

What is the standard ID for HETAL DUTIA (OTR) in the U.S.?

In the U.S., HETAL DUTIA (OTR) is identified by NPI 1205044690.

Should I treat HETAL DUTIA (OTR) as an active provider?

Patients and plans typically see HETAL DUTIA (OTR) as active in the national extract.

What type of care does HETAL DUTIA (OTR) provide?

HETAL DUTIA (OTR)'s profile centers on Occupational Therapist. Clinical services aligned with this taxonomy classification.

What city is tied to HETAL DUTIA (OTR)?

The directory associates HETAL DUTIA (OTR) with Orland Park, Illinois. Check all listed addresses for suites or satellite offices.

Who maintains HETAL DUTIA (OTR)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.