DR. ARI DAVID AMITAI (MD) – Orthopaedic Surgery Physician, NPI 1104230374

DR. ARI DAVID AMITAI (MD) is a healthcare provider. based in Casper, Wyoming. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. FE167365 (OR). The NPI Number for DR. ARI DAVID AMITAI (MD) is 1104230374

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ARI DAVID AMITAI (MD)
NPI
1104230374
Phone
(307) 265-7205
Address
4140 CENTENNIAL HILLS BLVD STE A
Enumeration Date
16 June 2014
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3072657205
Graduation Year
2009 (17 years ago)
PAC ID
4688969462
Group Practice PAC ID
9436148624
Professional Enrollment ID
I20200326002542
Address ID
WY826093265CA4140XBLVD403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:11State licenses:4Digital endpointsOther names

85 ORTHOPEDIC SURGERY in WY

Provider Addresses for DR. ARI DAVID AMITAI (MD)

  • 4140 CENTENNIAL HILLS BLVD STE A

    CASPER, WY 826093265

    Phone: (307) 265-7205

    Fax: (307) 235-6262

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $1,756.

Total Amount is formed as General ($1,756) + Research ($0) + Ownership ($0) = $1,756.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,742).

Total Amount

$1,756

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,756

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200326002542IOrthopedic SurgeryWYTBD
I20240628002559IOrthopedic SurgeryWATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 82609)

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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: 9436148624View full group profile
NameSpecialtyState
Orthopedic SurgeryAZ
-SC
Occupational Therapist In Private PracticeWY
Orthopedic SurgeryTX
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Orthopedic SurgeryWY
Orthopedic SurgeryWY
Orthopedic SurgeryWY
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

What number should I use to identify DR. ARI DAVID AMITAI (MD) for billing?
Administrative and clinical systems typically use NPI 1104230374 for DR. ARI DAVID AMITAI (MD).
Should I treat DR. ARI DAVID AMITAI (MD) as an active provider?
Patients and plans typically see DR. ARI DAVID AMITAI (MD) as active in the national extract.
How should patients interpret DR. ARI DAVID AMITAI (MD)'s specialty?
The extract shows Orthopaedic Surgery Physician for DR. ARI DAVID AMITAI (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ARI DAVID AMITAI (MD)?
DR. ARI DAVID AMITAI (MD) shows a connection to Casper, Wyoming in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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