MARISA IADEROSA (MD, MPH) – Family Medicine Physician, NPI 1013593060

MARISA IADEROSA (MD, MPH) is a healthcare provider. based in Columbus, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD, MPH. They hold a License No. 35.151572 (OH). The NPI Number for MARISA IADEROSA (MD, MPH) is 1013593060

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARISA IADEROSA (MD, MPH)
NPI
1013593060
Phone
(614) 340-6777
Address
1033 N HIGH ST
Enumeration Date
21 March 2021
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6143406777
Graduation Year
2021 (5 years ago)
PAC ID
9133520711
Group Practice PAC ID
2769638154
Professional Enrollment ID
I20241112003289
Address ID
OH432012409CO1033XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for MARISA IADEROSA (MD, MPH)

  • 1033 N HIGH ST

    COLUMBUS, OH 432012409

    Phone: (614) 340-6777

    Fax: (614) 572-0914

    Type: Mailing

  • 111 S. GRANT AVENUE

    MEDICAL EDUCATION DEPARTMENT

    COLUMBUS, OH 43215

    Phone:

    Type: Mailing

  • 290 E TOWN ST

    COLUMBUS, OH 432154602

    Phone: (614) 788-5400

    Fax: (614) 788-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $261.

Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($127).

Total Amount

$261

General + Research + Ownership

Payments

8

Total payment records

General Amount

$261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-11-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241112003289IFamily PracticeOHTBD

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 43201)

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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: 2769638154View full group profile

Reviews

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Frequently asked questions

Is MARISA IADEROSA (MD, MPH) listed with a National Provider Identifier?
Yes — MARISA IADEROSA (MD, MPH) has NPI 1013593060 on file in the registry.
Is MARISA IADEROSA (MD, MPH) shown as active in public data?
Registry records indicate MARISA IADEROSA (MD, MPH) maintains an active NPI.
What clinical focus is listed for MARISA IADEROSA (MD, MPH)?
At a glance, MARISA IADEROSA (MD, MPH) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARISA IADEROSA (MD, MPH)?
Travel planning: use Columbus, Ohio as the reference point for MARISA IADEROSA (MD, MPH), then confirm.
When was this NPI issued?
Enumeration for MARISA IADEROSA (MD, MPH) is noted as March 21, 2021 where the registry provides it.

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