DEVIKA ICECREAMWALA (MD) – Dermatology Physician, NPI 1639444748
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for DEVIKA ICECREAMWALA (MD)
4201 ST. ANTOINE - UHC 5D - MAILBOX #226
UNIVERSITY PEDIATRICIANS
DETROIT, MI 482012153
Phone: (313) 745-4405
Fax: (313) 966-0665
Type: Mailing
4000 DUBLIN BLVD
DUBLIN, CA 945683113
Phone: (925) 875-6100
Type: Location
6605 NANCY RIDGE DR
SAN DIEGO, CA 921212253
Phone: (858) 900-2747
Fax: (858) 750-2984
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $1,307.
Total Amount is formed as General ($1,307) + Research ($0) + Ownership ($0) = $1,307.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($405).
Total Amount
$1,307
General + Research + Ownership
Payments
51
Total payment records
General Amount
$1,307
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $405 |
| GENZYME CORPORATION | $202 |
| E.R. Squibb & Sons, L.L.C. | $147 |
| STRATA Skin Sciences, Inc. | $133 |
| Dermavant Sciences, Inc. | $91 |
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: 2017-10-31
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 |
|---|---|---|---|---|
| I20171031003045 | I | Dermatology | CA | 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 | 153 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 57 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 48 | 33 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 34 | 31 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
Insurance plans in this area (ZIP 48201)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | NM | |
| Pathology, Dermatology | CA | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| D E R M A T O L O G Y | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.