JODAN PATHINATHAN (MD) – Allergy & Immunology (Internal Medicine) Physician, NPI 1780112896

JODAN PATHINATHAN (MD) is a healthcare provider. based in Brooklyn, New York. specializing in INTERNAL MEDICINE, HOSPITALIST, ALLERGY/IMMUNOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 307633 (NY). The NPI Number for JODAN PATHINATHAN (MD) is 1780112896

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JODAN PATHINATHAN (MD)
NPI
1780112896
Phone
(718) 270-1566
Address
450 Clarkson Ave
Enumeration Date
2 June 2017
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393439722
Graduation Year
2017 (9 years ago)
PAC ID
2668897216
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20200730001023
Address ID
FL339071375FO4761XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Digital endpointsOther names

18,109 INTERNAL MEDICINE in NY

Provider Addresses for JODAN PATHINATHAN (MD)

  • 450 Clarkson Ave

    Brooklyn, NY 112032012

    Phone: (718) 270-1566

    Type: Location

  • 4761 S CLEVELAND AVE STE 3

    FORT MYERS, FL 339071375

    Phone: (239) 343-9722

    Fax: (239) 343-9725

    Type: Location

  • 450, Clarkson Avenue, Brooklyn Community District 17, Brooklyn, Kings County, New York, 11203, United States

    BROOKLYN, NY 112032012

    Phone:

    Type: Mailing

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-9722

    Fax: (239) 343-9725

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,495.

Total Amount is formed as General ($1,495) + Research ($0) + Ownership ($0) = $1,495.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: GENZYME CORPORATION ($379).

Total Amount

$1,495

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,495

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-10-30

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200730001023IInternal MedicineFLTBD
I20231030001072IAllergy/ImmunologyNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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 11203)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335672146View full group profile
NameSpecialtyState
Internal MedicineAL
Internal Medicine, HospitalistFL
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
Neurology, HospitalistCA
Nurse PractitionerFL
N E U R O L O G YOH
N E U R O L O G YMO
Physician AssistantFL

Reviews

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Frequently asked questions

How do I look up JODAN PATHINATHAN (MD) by NPI?
Use NPI 1780112896 when you need to reference JODAN PATHINATHAN (MD) in forms, claims, or directories.
Is JODAN PATHINATHAN (MD)'s NPI currently valid?
The extract we use shows JODAN PATHINATHAN (MD) as active.
What kind of provider is JODAN PATHINATHAN (MD)?
The page reflects Allergy & Immunology (Internal Medicine) Physician for JODAN PATHINATHAN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JODAN PATHINATHAN (MD)?
The snapshot lists Brooklyn, New York for JODAN PATHINATHAN (MD); download NPPES for the complete set.
Is JODAN PATHINATHAN (MD) a real provider?
This page reflects official NPPES data for NPI 1780112896. Always confirm identity and privileges with the practice and licensing boards.

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