ZACHARY L GITLIN (MD) – Internal Medicine Physician, NPI 1003203753
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,069 INTERNAL MEDICINE in NM
Provider Addresses for ZACHARY L GITLIN (MD)
PO BOX 160
SHIPROCK, NM 874200160
Phone:
Type: Mailing
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone: (505) 368-6001
Fax: (505) 368-7011
Type: Location
1 HOSPITAL RD
OAK BLUFFS, MA 025571406
Phone: (508) 684-4500
Fax: (508) 684-4502
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: 2022-07-08
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 |
|---|---|---|---|---|
| I20191004000939 | I | Internal Medicine | TX | TBD |
| I20220708001149 | I | Internal Medicine | MA | 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 87420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| Emergency Medicine | RI | |
| Family Practice | ME | |
| Emergency Medicine | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Physician Assistant | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Psychiatry, Neuropsychiatry | MD | |
| Cardiovascular Disease (Cardiology) | MI | |
| Nurse Practitioner | MA |
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