CRAIG A. WITTENBERG (MD) – Family Medicine Physician, NPI 1285602920

CRAIG A. WITTENBERG (MD) is a healthcare provider. based in Pella, Iowa. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 30144 (IA). The NPI Number for CRAIG A. WITTENBERG (MD) is 1285602920

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG A. WITTENBERG (MD)
NPI
1285602920
Phone
(641) 621-2200
Address
405 MONROE ST
Enumeration Date
9 March 2006
Last Update Date
30 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
6416283832
Graduation Year
1991 (35 years ago)
PAC ID
8628020658
Group Practice PAC ID
9931005873
Professional Enrollment ID
I20100818000789

Contacts

Secure Messaging
prhc@direct.pellahealth.kobledirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for CRAIG A. WITTENBERG (MD)

  • Pella Medical Clinic, 405, Monroe Street, Pella, Marion County, Iowa, 50219, United States

    PELLA, IA 502191189

    Phone: (641) 621-2200

    Fax: (641) 621-2335

    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)

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: 2010-08-18

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
I20100818000789IFamily PracticeIATBD

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 50219)

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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: 9931005873View full group profile
NameSpecialtyState
-IA
-IN
Internal Medicine, Pulmonary Disease, Sleep MedicineIA
Pulmonary DiseaseIA
Family Practice, Obstetrics/GynecologyIA
-IA
Physical Therapist In Private PracticeIA
Diagnostic RadiologyIA
-IA
Family PracticeIA

Reviews

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Frequently asked questions

Can I verify CRAIG A. WITTENBERG (MD) with an NPI only?
You can start verification with NPI 1285602920 for CRAIG A. WITTENBERG (MD), then check state licensing separately.
Is CRAIG A. WITTENBERG (MD) still practicing?
CRAIG A. WITTENBERG (MD) is currently listed as active in the public NPI registry.
What is CRAIG A. WITTENBERG (MD)'s specialty?
The listing groups CRAIG A. WITTENBERG (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does CRAIG A. WITTENBERG (MD) list a practice location?
Patients near Pella, Iowa may find CRAIG A. WITTENBERG (MD) in results; validate coverage separately.
Is the information about CRAIG A. WITTENBERG (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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