ATIMANAPARAMPIL N. DAMODARAN (M.D.) – Internal Medicine Physician, NPI 1255394805

ATIMANAPARAMPIL N. DAMODARAN (M.D.) is a healthcare provider. based in Valparaiso, Indiana. specializing in INTERNAL MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01028450A (IN). The NPI Number for ATIMANAPARAMPIL N. DAMODARAN (M.D.) is 1255394805

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
ATIMANAPARAMPIL N. DAMODARAN (M.D.)
NPI
1255394805
Phone
(574) 806-4938
Address
187 WEXFORD RD
Enumeration Date
6 April 2006
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198369200
Graduation Year
1967 (59 years ago)
PAC ID
7810072832
Group Practice PAC ID
9739476201
Professional Enrollment ID
I20100211000434
Address ID
IN463214176MU9335XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,511 INTERNAL MEDICINE in IN

Provider Addresses for ATIMANAPARAMPIL N. DAMODARAN (M.D.)

  • 187 WEXFORD RD

    VALPARAISO, IN 463858038

    Phone: (574) 806-4938

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $524.

Total Amount is formed as General ($524) + Research ($0) + Ownership ($0) = $524.

Last reported payment date: 2024-01-04 • Largest payer in this snapshot: Ethicon Inc. ($131).

Total Amount

$524

General + Research + Ownership

Payments

5

Total payment records

General Amount

$524

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-04

Latest reported date

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: 2010-02-11

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
I20100211000434IInternal MedicineINTBD

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 46385)

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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: 9739476201View full group profile
NameSpecialtyState
Nurse PractitionerIL
-WI
P S Y C H I A T R YIN
-IN
-NE
Nurse PractitionerIL
Psychiatry, Internal MedicineIL
Physician AssistantIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

How do payers reference ATIMANAPARAMPIL N. DAMODARAN (M.D.)?
For ATIMANAPARAMPIL N. DAMODARAN (M.D.), use NPI 1255394805 as the unique 10-digit identifier.
Is there an active status for ATIMANAPARAMPIL N. DAMODARAN (M.D.)?
For scheduling context, ATIMANAPARAMPIL N. DAMODARAN (M.D.) is shown as active in the registry.
How would a patient describe ATIMANAPARAMPIL N. DAMODARAN (M.D.)'s focus?
For ATIMANAPARAMPIL N. DAMODARAN (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ATIMANAPARAMPIL N. DAMODARAN (M.D.)?
Directory geography for ATIMANAPARAMPIL N. DAMODARAN (M.D.) centers on Valparaiso, Indiana.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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