RACHEL PIDALA – Physician Assistant, NPI 1114651916

RACHEL PIDALA is a healthcare provider. based in Chagrin falls, Ohio. specializing in PHYSICIAN ASSISTANT. They hold a License No. 50.007658 (OH). The NPI Number for RACHEL PIDALA is 1114651916

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL PIDALA
NPI
1114651916
Phone
Not provided
Address
18822 RIVERS EDGE DR W
Enumeration Date
15 July 2022
Last Update Date
15 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4407751211
Graduation Year
2022 (4 years ago)
PAC ID
5890161053
Group Practice PAC ID
4688070055
Professional Enrollment ID
I20221013002097
Address ID
OH440741026OB200XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for RACHEL PIDALA

  • 18822 RIVERS EDGE DR W

    CHAGRIN FALLS, OH 440234905

    Phone:

    Type: Mailing

  • 3700 KOLBE RD STE 120

    LORAIN, OH 440531611

    Phone: (440) 960-4000

    Type: Location

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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-07-27 • Largest payer in this snapshot: Baxter Healthcare ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Baxter Healthcare$13
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: 2022-10-13

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
I20221013002097IPhysician AssistantOHTBD

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 44023)

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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: 4688070055View full group profile
NameSpecialtyState
Family Practice, Sports MedicinePA
Pulmonary Disease, Internal MedicineOH
U R O L O G YOH
Pain Management, Physical Medicine And RehabilitationOH
Nurse PractitionerOH
Nurse PractitionerOH
Clinical Social WorkerOH
G A S T R O E N T E R O L O G YOH
Certified Nurse Midwife (Cnm)OH
N E U R O S U R G E R YNC

Reviews

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Frequently asked questions

What is the registry number for RACHEL PIDALA?
The registry entry for RACHEL PIDALA shows NPI 1114651916.
Should I treat RACHEL PIDALA as an active provider?
Patients and plans typically see RACHEL PIDALA as active in the national extract.
What does the directory say RACHEL PIDALA does?
Insurance directories may phrase it differently, but here RACHEL PIDALA maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RACHEL PIDALA?
RACHEL PIDALA is associated with Chagrin Falls, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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