DR. THADDEUS RITCH DE HERRERA (M.D.) – Occupational Medicine Physician, NPI 1801063714
Occupational Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17 PREVENTIVE MEDICINE in NM
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Provider Addresses for DR. THADDEUS RITCH DE HERRERA (M.D.)
5080 SPECTRUM DR STE 1200W
ADDISON, TX 750014624
Phone: (972) 364-8083
Fax: (147) 754-5022
Type: Mailing
5700, Harper Drive Northeast, Albuquerque, Bernalillo County, New Mexico, 87109, United States
SUITE 110
ALBUQUERQUE, NM 871093573
Phone: (505) 823-3540
Fax: (505) 843-9475
Type: Location
2804 SOUTHAMPTON RD
PHILADELPHIA, PA 191541207
Phone: (215) 677-0930
Fax: (215) 677-3266
Type: Location
4984, Jonesboro Road, Forest Park, Clayton County, Georgia, 30297, United States
FOREST PARK, GA 302973524
Phone: (404) 279-6580
Fax: (404) 279-6709
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: 2022-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190912000127 | I | Preventive Medicine | NJ | TBD |
| I20220927003937 | I | Preventive Medicine | PA | TBD |
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.
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 75001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | VA | |
| - | IN | |
| A N E S T H E S I O L O G Y | IN | |
| - | TN | |
| - | NM | |
| - | WI | |
| Physician Assistant | PA | |
| - | OH | |
| Physician Assistant | NV |
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