DR. DIMITRI LADDIS (MD) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1760415384
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,703 EMERGENCY MEDICINE in NJ
Provider Addresses for DR. DIMITRI LADDIS (MD)
481 S WASHINGTON AVE
BERGENFIELD, NJ 076214313
Phone: (201) 875-2454
Fax: (732) 707-5001
Type: Location
University Towers, 100, York Street, Downtown, New Haven, New Haven County, Connecticut, 06511, United States
NEW HAVEN, CT 065115620
Phone: (203) 737-7440
Type: Location
31, Liberty Street, Village of Piermont, Town of Orangetown, Rockland County, New York, 10968, United States
PIERMONT, NY 109681207
Phone: (917) 974-7279
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: 2025-05-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040826000377 | I | Pediatric Medicine | NY | TBD |
| I20250519003671 | I | Emergency Medicine | NJ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07621)
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