DR. PRAKASH G ETTIGI (MD) – Psychiatry Physician, NPI 1326057597
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,033 PSYCHIATRY in VA
Provider Addresses for DR. PRAKASH G ETTIGI (MD)
3212 Cutshaw Ave
Suite 303
Richmond, VA 232305024
Phone: (804) 353-3324
Fax: (804) 353-4498
Type: Location
PMR Stronghold, 1395, Northwest 167th Street, Miami Gardens, Miami-Dade County, Florida, 33169, United States
MIAMI GARDENS, FL 331695710
Phone: (305) 628-6117
Type: Mailing
6530, Hull Street Road, Fawnbrook, Richmond, Richmond City, Virginia, 23224, United States
RICHMOND, VA 23224
Phone: (804) 674-3425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $313.
Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Lundbeck LLC ($108).
Total Amount
$313
General + Research + Ownership
Payments
15
Total payment records
General Amount
$313
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111027000696 | I | Psychiatry | VA | 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 23230)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | VA | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | VA | |
| Mental Health Counselor | VA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.