PADMA G NALLAMOTHU (M.D.) – Dermatology Physician, NPI 1265510390
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DERMATOLOGY in MI
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Provider Addresses for PADMA G NALLAMOTHU (M.D.)
Domino's Farms Office Park, 24, Frank Lloyd Wright Drive, Domino Farms, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States
PO BOX 0446 LOBBY J
ANN ARBOR, MI 481059484
Phone: (734) 747-6766
Fax: (734) 222-3100
Type: Mailing
IHA Urgent Care - Domino's Farms, 4200, Whitehall Drive, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States
STE 250
ANN ARBOR, MI 48105
Phone: (734) 677-3376
Fax: (734) 572-3229
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-04-06 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($94).
Total Amount
$94
General + Research + Ownership
Payments
1
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $94 |
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: 2005-11-09
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 |
|---|---|---|---|---|
| I20051109000354 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 885 | 159 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 263 | 213 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 232 | 193 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 162 | 137 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 146 | 129 | $0 |
Insurance plans in this area (ZIP 48105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI |
Reviews
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