DR. DESIDERIO PINA (MD, MPH) – Psychiatry Physician, NPI 1043206998

DR. DESIDERIO PINA (MD, MPH) is a healthcare provider. based in Beavercreek, Ohio. specializing in PSYCHIATRY. They hold the professional credentials MD, MPH. They hold a License No. 221611 (NY). The NPI Number for DR. DESIDERIO PINA (MD, MPH) is 1043206998

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. DESIDERIO PINA (MD, MPH)
NPI
1043206998
Phone
(937) 320-1880
Address
2542 KING CHARLES ST
Enumeration Date
26 September 2005
Last Update Date
5 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9106715000
Graduation Year
1995 (31 years ago)
PAC ID
2961305867
Group Practice PAC ID
7315857141
Professional Enrollment ID
I20220105002945
Address ID
NC283583075LU300XXSTXX404

Contacts

Secure Messaging
dpina267735@direct.urmc.rochester.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness85
Years active:20State licenses:4Other namesUpdated within 12 months

1,244 PSYCHIATRY in OH

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Provider Addresses for DR. DESIDERIO PINA (MD, MPH)

  • 2542, King Charles Street, Beavercreek, Greene County, Ohio, 45435, United States

    SUITE: B

    BEAVERCREEK, OH 454315719

    Phone: (937) 320-1880

    Fax: (937) 320-1880

    Type: Mailing

  • 953 S South St

    Wilmington, OH 451772921

    Phone: (937) 383-4441

    Fax: (937) 383-2916

    Type: Location

  • 7265 Old Oak Blvd

    Cleveland, OH 441303342

    Phone: (440) 816-5790

    Type: Location

  • 18697 Bagley Rd

    Cleveland, OH 441303417

    Phone: (440) 816-8200

    Type: Location

  • 351 W Schuylkill Rd Ste G-15A

    Pottstown, PA 194657438

    Phone: (610) 326-9460

    Type: Location

  • 3195 DAYTON XENIA RD STE 900-386

    BEAVERCREEK, OH 454346390

    Phone: (937) 244-9812

    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: 2023-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20040128001185IPsychiatryOHTBD
I20100818000247IPsychiatryINTBD
I20211112001813IPsychiatryNYTBD
I20220105002945IPsychiatryNCTBD
I20230202001861IPsychiatryPATBD
I20230202002797IPsychiatryILTBD
I20230713004013IPsychiatryKYTBD

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 45431)

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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: 7315857141View full group profile
NameSpecialtyState
Internal MedicineNC
Physician AssistantNC
-NC
Nurse PractitionerNC
Pulmonary Disease, Critical Care (Intensivists)ID
Family PracticeSC
Nurse PractitionerNC
H O S P I T A L I S TCA
H O S P I T A L I S TNC
Physician AssistantNV

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DESIDERIO PINA (MD, MPH)?
DR. DESIDERIO PINA (MD, MPH) — NPI 1043206998 — is the standard way to identify this listing.
Does CMS list DR. DESIDERIO PINA (MD, MPH) as active?
Yes — DR. DESIDERIO PINA (MD, MPH) is active in the NPI listing used on this page.
What is DR. DESIDERIO PINA (MD, MPH)'s specialty?
The listing groups DR. DESIDERIO PINA (MD, MPH) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is DR. DESIDERIO PINA (MD, MPH) based?
DR. DESIDERIO PINA (MD, MPH) is tied to Beavercreek, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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