DOROTA A SZCZEPANIAK (MD) – Pediatrics Physician, NPI 1972597649
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
649 PEDIATRIC MEDICINE in WA
Provider Addresses for DOROTA A SZCZEPANIAK (MD)
IU Health Revenue Cycle Services, 250, North Shadeland Avenue, Indianapolis, Marion County, Indiana, 46219, United States
STE 130 - PROVIDER ENROLLMENT
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
818 STEWART ST # 818-RC
SEATTLE, WA 981013311
Phone: (069) 875-2232
Fax: (206) 985-3177
Type: Location
1002 WISHARD BLVD STE 2001
INDIANAPOLIS, IN 462022872
Phone: (317) 944-2801
Fax: (317) 944-5630
Type: Location
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: 2023-08-04
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 |
|---|---|---|---|---|
| I20230804002338 | I | Pediatric Medicine | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | WA | |
| - | WA | |
| Pediatric Medicine, Hematology/Oncology | CA | |
| - | WA | |
| Diagnostic Radiology, Pediatric Medicine | WA | |
| Nurse Practitioner | WA | |
| A N E S T H E S I O L O G Y | WA | |
| General Surgery, Thoracic Surgery, Surgical Oncology | WA | |
| - | WA | |
| - | WA |
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