Caitlin Siobhan Pedati

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD-45336 Issued in IA

Practice address

321 E 12TH St FL 5
Des Moines, IA 50319-1002

Phone

(515) 281-3826

NPI assigned

May 3, 2012

Last updated

Apr 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Commonwealth of Virginia State Board of Health

  dba Spotsylvania Health Department

  • Public Health or Welfare Agency
  • Spotsylvania, VA
  • NPI 1134163280
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1063770576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "address_2": "W3.5, 600",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102916",
            "telephone_number": "202-476-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E 12TH ST FL 5",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503191002",
            "telephone_number": "515-281-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDATI",
        "first_name": "CAITLIN",
        "middle_name": "SIOBHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IA",
            "license": "MD-45336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Peal, RBT
• Amy J Pearson, PT
• Bryan Theodore Pearson, MD
• Lisa Marie Pearson
• Carolyn Su-Ying Pease, M.D.
• Brenda K. Pedersen, BSOT, OTR/L, CHT
• Pediatric & Adult Allergy PC
• Pediatric Cardiology, P.C.
• Pediatric Dentistry of Central Iowa, P.C. (Pediatric Dentistry)
• Pediatrics and Adolescent Medicine, P.C.

• Public Health & General Preventive Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Public Health & General Preventive Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.