DR. NITA AMORNSIRIPANITCH (M.D.) – Diagnostic Radiology Physician, NPI 1063791887
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for DR. NITA AMORNSIRIPANITCH (M.D.)
1633 N Capitol Ave
Suite 640
Indianapolis, IN 462021261
Phone: (317) 962-0838
Type: Location
PO BOX 200694
INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL
PITTSBURGH, PA 152510694
Phone: (833) 324-6904
Fax: (302) 440-5783
Type: Mailing
55 FOGG RD
SOUTH WEYMOUTH, MA 021902432
Phone: (781) 624-8000
Fax: (781) 624-3719
Type: Location
1633 N. CAPITOL AVENUE, MT, SUITE 640
INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL
INDIANAPOLIS, IN 46202
Phone: (317) 962-0838
Type: Mailing
1633 N CAPITOL AVE
SUITE 640
INDIANAPOLIS, IN 462021261
Phone: (317) 962-0838
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 $1,750.
Total Amount is formed as General ($1,750) + Research ($0) + Ownership ($0) = $1,750.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($1,750).
Total Amount
$1,750
General + Research + Ownership
Payments
1
Total payment records
General Amount
$1,750
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $1,750 |
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: 2017-04-26
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 |
|---|---|---|---|---|
| I20170426001510 | I | Diagnostic Radiology | MA | 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 |
|---|---|---|---|---|
| 77067 | Screening mammography | 809 | 809 | $0 |
| 77063 | Screening 3d breast mammography | 806 | 806 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 211 | 210 | $0 |
| 77065 | Diagnostic mammography of 1 breast | 133 | 132 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 124 | 122 | $0 |
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology, Interventional Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | ME | |
| Diagnostic Radiology, Interventional Radiology | PA | |
| Interventional Radiology | VA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA |
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