MR. JOSEPH ANDREW VITAGLIANO (PA-C) – Psychiatry Physician, NPI 1003242447
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. JOSEPH ANDREW VITAGLIANO (PA-C)
2000 SPRING RD
OAK BROOK, IL 605231804
Phone: (630) 472-8800
Type: Mailing
5555 W THUNDERBIRD RD
GLENDALE, AZ 853064622
Phone: (602) 588-5555
Type: Location
4279 E TETHER TRL
PHOENIX, AZ 850508949
Phone: (480) 212-6408
Type: Mailing
5555 W Thunderbird Rd
Glendale, AZ 853064622
Phone: (602) 588-5555
Type: Location
1110 E MISSOURI AVE STE 110
PHOENIX, AZ 850142703
Phone: (480) 542-8202
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $490.
Total Amount is formed as General ($490) + Research ($0) + Ownership ($0) = $490.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Lundbeck LLC ($124).
Total Amount
$490
General + Research + Ownership
Payments
28
Total payment records
General Amount
$490
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $124 |
| IRONSHORE PHARMACEUTICALS INC. | $49 |
| Corium, LLC | $45 |
| Janssen Pharmaceuticals, Inc | $43 |
| ABBVIE INC. | $41 |
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: 2014-02-11
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 |
|---|---|---|---|---|
| I20140211001023 | I | Physician Assistant | AZ | 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 60523)
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