DR. TISHA GAYETTE DELLOS (DO) – Anatomic Pathology & Clinical Pathology Physician, NPI 1033361712

DR. TISHA GAYETTE DELLOS (DO) is a healthcare provider. based in Mount vernon, Ohio. specializing in PATHOLOGY. They hold the professional credentials DO. They hold a License No. 34.008976 (OH). The NPI Number for DR. TISHA GAYETTE DELLOS (DO) is 1033361712

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. TISHA GAYETTE DELLOS (DO)
NPI
1033361712
Phone
(740) 393-9770
Address
1330 COSHOCTON AVE
Enumeration Date
14 October 2008
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
7403939662
Graduation Year
2003 (23 years ago)
PAC ID
8628129293
Group Practice PAC ID
4587569983
Professional Enrollment ID
I20090623000266
Address ID
OH430501440MO1330XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

749 PATHOLOGY in OH

Provider Addresses for DR. TISHA GAYETTE DELLOS (DO)

  • 1330 COSHOCTON AVE

    MOUNT VERNON, OH 430501440

    Phone: (740) 393-9770

    Fax: (740) 399-3134

    Type: Location

  • Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States

    COLUMBUS, OH 432021559

    Phone: (740) 393-9770

    Fax: (740) 399-3134

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-11-03 • Largest payer in this snapshot: bioMerieux Inc ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
bioMerieux Inc$15
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: 2009-06-23

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
I20090623000266IPathologyOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity955490$0
88341Special stained specimen slides to examine tissue, each additional procedure28663$0
88342Special stained specimen slides to examine tissue, initial procedure152123$0
88307Pathology examination of tissue using a microscope, moderately high complexity11785$0
88360Microscopic genetic analysis of tumor, manual8930$0
View full utilization report →

Insurance plans in this area (ZIP 43050)

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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: 4587569983View full group profile
NameSpecialtyState
P A T H O L O G YIN
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YOH
P A T H O L O G YCA
P A T H O L O G YOH

Reviews

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Frequently asked questions

What is the registry number for DR. TISHA GAYETTE DELLOS (DO)?
The registry entry for DR. TISHA GAYETTE DELLOS (DO) shows NPI 1033361712.
Quick check: is DR. TISHA GAYETTE DELLOS (DO) active?
Public NPPES data shows DR. TISHA GAYETTE DELLOS (DO) with an active NPI status right now.
Which specialty label fits DR. TISHA GAYETTE DELLOS (DO)?
NPPES ties DR. TISHA GAYETTE DELLOS (DO) to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. TISHA GAYETTE DELLOS (DO) tied to Mount Vernon, Ohio?
If you are local to Mount Vernon, Ohio, DR. TISHA GAYETTE DELLOS (DO) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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