SERGIOS GATIDIS MD
NPI 1477238673
Radiology - Pediatric Radiology in Palo Alto, CA

Q: What is Sergios Gatidis's NPI number?

The NPI number for Sergios Gatidis is 1477238673. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Q: What is Sergios Gatidis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Sergios Gatidis was last updated on April 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2024, Oct 16, 2023, Jun 16, 2023 (3 updates tracked since 2023).

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About Sergios Gatidis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERGIOS GATIDIS MD (NPI 1477238673) is an individual pediatric radiology provider in Palo Alto, California, licensed in California (SPI773) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Palo Alto, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1477238673

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameSERGIOS GATIDISCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 16, 2023

Last NPPES UpdateApril 9, 20243 updates tracked since enumeration

NPPES CertifiedApril 9, 2024

✔ NPI 1477238673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in CA · SPI773

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License SPI773 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 1725 Welch Rd Rm 1893Palo Alto, CA 94304-1601 · Phone (650) 497-7335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sergios Gatidis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305205568

PECOS Enrollment IDI20230706000991

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)