DAVID W PRUITT (MD) – Pediatric Rehabilitation Medicine Physician, NPI 1356421176

DAVID W PRUITT (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials MD. They hold a License No. 35.086193 (OH). The NPI Number for DAVID W PRUITT (MD) is 1356421176

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DAVID W PRUITT (MD)
NPI
1356421176
Phone
(513) 636-4225
Address
3333 BURNET AVE
Enumeration Date
16 October 2006
Last Update Date
20 November 2015

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
5136364200
Graduation Year
1998 (28 years ago)
PAC ID
4284520685
Group Practice PAC ID
8426955733
Professional Enrollment ID
I20050829000379
Address ID
OH452293026CI3333XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

510 PHYSICAL MEDICINE AND REHABILITATION in OH

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Provider Addresses for DAVID W PRUITT (MD)

  • Cincinnati Children’s Hospital Medical Center, 3333, Burnet Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229-3026, United States

    ML 4009

    CINCINNATI, OH 452293039

    Phone: (513) 636-4225

    Fax: (513) 636-2511

    Mailing address matches the actual address.

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: 2005-08-29

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
I20050829000379IPhysical Medicine And RehabilitationOHTBD

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 45229)

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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: 8426955733View full group profile

Reviews

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Frequently asked questions

What is DAVID W PRUITT (MD)'s NPI number?
DAVID W PRUITT (MD)'s NPI is 1356421176 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DAVID W PRUITT (MD)?
You should see DAVID W PRUITT (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DAVID W PRUITT (MD)?
DAVID W PRUITT (MD)'s specialty line reads Pediatric Rehabilitation Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DAVID W PRUITT (MD) associated with Cincinnati?
Public fields place DAVID W PRUITT (MD) around Cincinnati, Ohio. Always confirm the exact site before visiting.
Can I trust this NPI listing for DAVID W PRUITT (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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