DR. KETAKI VAIDHYANATHAN (M.D.) – Psychiatry Physician, NPI 1992904445
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,050 PSYCHIATRY in NJ
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Provider Addresses for DR. KETAKI VAIDHYANATHAN (M.D.)
Mountainside Hospital, 1, Bay Avenue, Glen Ridge, Essex County, New Jersey, 07042, United States
MONTCLAIR, NJ 070424837
Phone: (973) 429-6260
Type: Location
137, Romaine Avenue, Maywood, Bergen County, New Jersey, 07607, United States
MAYWOOD, NJ 076071948
Phone: (201) 845-5289
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,058.
Total Amount is formed as General ($1,058) + Research ($0) + Ownership ($0) = $1,058.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($275).
Total Amount
$1,058
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,058
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-05-19
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 |
|---|---|---|---|---|
| I20090519000058 | I | Psychiatry | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 267 | 77 | $0 |
| 90837 | Psychotherapy, 1 hour | 119 | 35 | $0 |
| 90832 | Psychotherapy, 30 minutes | 29 | 16 | $0 |
Insurance plans in this area (ZIP 07042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| P S Y C H I A T R Y | NJ | |
| - | TX | |
| P A T H O L O G Y | FL | |
| - | NJ | |
| - | NJ | |
| Emergency Medicine | NJ |
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