MARK GITAU – Occupational Therapist, NPI 1235471152

MARK GITAU is a healthcare provider. based in Wichita, Kansas. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 17-02467 (KS). The NPI Number for MARK GITAU is 1235471152

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MARK GITAU
NPI
1235471152
Phone
(316) 992-6442
Address
3650 N WOODLAWN BLVD APT 613
Enumeration Date
18 March 2013
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8167467469
Graduation Year
2003 (23 years ago)
PAC ID
6800175753
Group Practice PAC ID
2163339722
Professional Enrollment ID
I20251007004083
Address ID
MO641512301KA6460XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:13State licenses:2Digital endpointsOther names

191 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for MARK GITAU

  • 3650 N WOODLAWN BLVD APT 613

    WICHITA, KS 672202218

    Phone: (316) 992-6442

    Type: Mailing

  • 5005 E 21ST ST N

    WICHITA, KS 672081604

    Phone: (316) 992-6442

    Type: Location

  • 6460 N COSBY AVE

    KANSAS CITY, MO 641512301

    Phone: (316) 992-6442

    Type: Location

  • 4425 CAMBRIDGE ST

    KANSAS CITY, KS 661033505

    Phone: (316) 992-6442

    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: 2025-10-07

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
I20251007004083IOccupational Therapist In Private PracticeMOTBD

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 67220)

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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: 2163339722View full group profile
NameSpecialtyState
Internal MedicineVA
-NY
Nurse PractitionerMI
Family PracticeTX
Physician AssistantNC
Internal Medicine, Geriatric MedicineNC
Qualified Speech Language PathologistOK
Occupational Therapist In Private PracticeNC
Internal MedicineNC
Internal MedicineNC

Reviews

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Frequently asked questions

How is MARK GITAU identified in CMS data?
CMS-hosted NPPES data lists MARK GITAU with NPI 1235471152.
Is MARK GITAU listed as active for patients and plans?
The listing shows MARK GITAU as active in the NPI system.
What is MARK GITAU's specialty?
The listing groups MARK GITAU with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does MARK GITAU list a practice location?
Patients near Wichita, Kansas may find MARK GITAU in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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