DR. PREETHAM GRANDHI (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1720093149
Child & Adolescent Psychiatry Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. PREETHAM GRANDHI (M.D.)
84 Hospital Ave
Danbury, CT 068109001
Phone: (203) 792-0400
Fax: (203) 792-0404
Type: Location
1324 LAKELAND HILLS BLVD
LAKELAND, FL 338054543
Phone: (863) 687-1222
Fax: (863) 603-6546
Type: Location
28564 PICANA LN
WESLEY CHAPEL, FL 335436659
Phone: (914) 262-2170
Type: Mailing
New York City Children's Center Bronx Campus, 1300, Waters Place, The Bronx, Bronx County, New York, 10461, United States
BRONX, NY 104612714
Phone: (929) 348-3658
Type: Mailing
625, Gramatan Avenue, Fleetwood, Mount Vernon, New York, 10552, United States
MOUNT VERNON, NY 105521839
Phone: (914) 664-9190
Fax: (914) 664-9190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Tris Pharma Inc ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tris Pharma Inc | $125 |
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: 2021-12-01
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 |
|---|---|---|---|---|
| I20211201001405 | I | Psychiatry | FL | 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 06810)
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