JOHN N GAITANIS (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1225065394

JOHN N GAITANIS (MD) is a healthcare provider. based in Norwood, Massachusetts. specializing in NEUROLOGY, PSYCHIATRY, NEUROLOGY. They hold the professional credentials MD. They hold a License No. 213712 (MA). The NPI Number for JOHN N GAITANIS (MD) is 1225065394

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
JOHN N GAITANIS (MD)
NPI
1225065394
Phone
(781) 352-4777
Address
115 Norwood Park S
Enumeration Date
26 June 2006
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037886911
Graduation Year
1996 (30 years ago)
PAC ID
3375436215
Group Practice PAC ID
9436456118
Professional Enrollment ID
I20241223003044
Address ID
CO801132702EN501XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,144 NEUROLOGY in MA

Provider Addresses for JOHN N GAITANIS (MD)

  • 115 Norwood Park S

    Ste 106

    Norwood, MA 020624641

    Phone: (781) 352-4777

    Fax: (781) 352-4778

    Type: Location

  • 2 Dudley Street

    Ste 2

    Providence, RI 029053236

    Phone: (781) 352-4777

    Fax: (781) 352-4778

    Type: Location

  • Coro Garage, 1, Hoppin Street, Jewelry District, Providence, Providence County, Rhode Island, 02903, United States

    SUITE 318

    PROVIDENCE, RI 029034141

    Phone: (781) 352-4777

    Fax: (781) 352-4778

    Type: Mailing

  • Rhode Island Hospital, 593, Eddy Street, Downtown, Providence, Providence County, Rhode Island, 02903, United States

    GEORGE BUILDING

    PROVIDENCE, RI 029034923

    Phone: (401) 444-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $23,488.

Total Amount is formed as General ($23,488) + Research ($0) + Ownership ($0) = $23,488.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Neurelis, Inc. ($16,795).

Total Amount

$23,488

General + Research + Ownership

Payments

24

Total payment records

General Amount

$23,488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20040205000118INeurologyRITBD
I20081104000294INeurologyMATBD
I20241223003044INeurologyCOTBD
I20250407001823INeurologyORTBD
I20251008004019IPsychiatryTXTBD

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 02062)

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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: 9436456118View full group profile
NameSpecialtyState
N E U R O L O G YCO
N E U R O L O G YCO
N E U R O L O G YFL
N E U R O L O G YCO
N E U R O L O G YCO
N E U R O L O G YPA
N E U R O L O G YCO
N E U R O L O G YCA
N E U R O L O G YMD
Nurse PractitionerHI

Reviews

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Frequently asked questions

Can I verify JOHN N GAITANIS (MD) with an NPI only?
You can start verification with NPI 1225065394 for JOHN N GAITANIS (MD), then check state licensing separately.
Does the file indicate JOHN N GAITANIS (MD) is practicing under active NPI?
Directory data currently reports JOHN N GAITANIS (MD) as active.
What is JOHN N GAITANIS (MD)'s primary classification?
Neurology with Special Qualifications in Child Neurology Physician is the headline specialty for JOHN N GAITANIS (MD) here. Clinical services aligned with this taxonomy classification.
Does JOHN N GAITANIS (MD) list a practice location?
Patients near Norwood, Massachusetts may find JOHN N GAITANIS (MD) in results; validate coverage separately.
Why does JOHN N GAITANIS (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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