DR. THEETHAYE LONAPPAN ITTIARA (M.D) – Psychiatry Physician, NPI 1174585475
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,216 PSYCHIATRY in MI
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Provider Addresses for DR. THEETHAYE LONAPPAN ITTIARA (M.D)
5442, Pine View Drive, Pine View Golf Course Estates, Ypsilanti Charter Township, Washtenaw County, Michigan, 48197, United States
YPSILANTI, MI 481978963
Phone: (734) 485-0868
Type: Mailing
142, East Maumee Street, Adrian, Madison Charter Township, Lenawee County, Michigan, 49221, United States
ADRIAN, MI 492212735
Phone: (517) 263-5810
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2024-08-24 • Largest payer in this snapshot: Alkermes, Inc. ($74).
Total Amount
$134
General + Research + Ownership
Payments
6
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $74 |
| Axsome Therapeutics, Inc. | $27 |
| ITI, Inc. | $19 |
| Neurocrine BioSciences, Inc. | $14 |
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: 2004-10-12
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 |
|---|---|---|---|---|
| I20041012000086 | I | Psychiatry | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 180 | 30 | $0 |
| 90837 | Psychotherapy, 1 hour | 30 | 13 | $0 |
Insurance plans in this area (ZIP 48197)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | AZ | |
| - | MI | |
| - | MI |
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