HARRY T KITTAKA (MD) – Family Medicine Physician, NPI 1437176286

HARRY T KITTAKA (MD) is a healthcare provider. based in Waverly, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35.076602 (OH). The NPI Number for HARRY T KITTAKA (MD) is 1437176286

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
HARRY T KITTAKA (MD)
NPI
1437176286
Phone
(740) 941-5180
Address
12340 STATE ROUTE 104
Enumeration Date
17 July 2006
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
9376756830
Graduation Year
1996 (30 years ago)
PAC ID
5991710949
Group Practice PAC ID
9537066584
Professional Enrollment ID
I20060213000058
Address ID
OH453351522JA4940XRDXX303

Contacts

Secure Messaging
adena.fam.med.waverly@adena.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,431 FAMILY PRACTICE in OH

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Provider Addresses for HARRY T KITTAKA (MD)

  • 12340 STATE ROUTE 104

    WAVERLY, OH 456908968

    Phone: (740) 941-5180

    Type: Mailing

  • Adena Regional Medical Center, 272, Hospital Road, Chillicothe, Ross County, Ohio, 45601, United States

    SUITE 3

    CHILLICOTHE, OH 456019031

    Phone: (740) 779-8234

    Fax: (740) 779-7477

    Type: Mailing

  • 12340, Lake White Road, Waverly Place, Waverly City, Pike County, Ohio, 45690, United States

    WAVERLY, OH 456908968

    Phone: (740) 941-5180

    Type: Location

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: 2006-02-13

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
I20060213000058IFamily 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2416$0
99213Established patient office or other outpatient visit, 20-29 minutes1916$0
99215Established patient office or other outpatient visit, 40-54 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 45690)

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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: 9537066584View full group profile
NameSpecialtyState
Family PracticeOH
Family PracticeOH
Family PracticeOH
Physician AssistantOH
-OH
General SurgeryOH
Family PracticeOH
-OH
Internal Medicine, HospitalistPA
Registered Dietitian Or Nutrition ProfessionalOH

Reviews

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Frequently asked questions

Does HARRY T KITTAKA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HARRY T KITTAKA (MD) uses 1437176286.
Does CMS list HARRY T KITTAKA (MD) as active?
Yes — HARRY T KITTAKA (MD) is active in the NPI listing used on this page.
What taxonomy line describes HARRY T KITTAKA (MD)?
For research purposes, treat HARRY T KITTAKA (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does HARRY T KITTAKA (MD) serve?
HARRY T KITTAKA (MD)'s listing highlights Waverly, Ohio; more addresses can appear in NPPES.
Is the information about HARRY T KITTAKA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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