JOHN R PEDROTTY JR MD A PROF CORP
NPI 1831125277
Family Medicine in Coronado, CA
About John R Pedrotty Jr Md A Prof Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN R PEDROTTY JR MD A PROF CORP (NPI 1831125277), doing business as John R Pedrotty Jr Md, is a healthcare organization registered as a family medicine in Coronado, California and active in the NPI registry since June 2006. The organization lists John Richard Pedrotty, President Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John R Pedrotty Jr Md A Prof Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to John R Pedrotty Jr MD A Prof Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John R Pedrotty Jr MD A Prof Corp's NPI number?
The NPI number for John R Pedrotty Jr MD A Prof Corp is 1831125277. It was assigned to this organization in the NPPES registry on June 25, 2006. The provider is doing business as John R Pedrotty Jr MD.
Where is John R Pedrotty Jr MD A Prof Corp located?
John R Pedrotty Jr MD A Prof Corp is located at 1222 1st St Ste 1, Coronado, CA 92118. The listed phone number is (619) 922-3660.
What is John R Pedrotty Jr MD A Prof Corp's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John R Pedrotty Jr MD A Prof Corp enrolled in Medicare?
Yes. John R Pedrotty Jr MD A Prof Corp is registered in the Medicare PECOS enrollment system.
When is John R Pedrotty Jr MD A Prof Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through John R Pedrotty Jr MD A Prof Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to John R Pedrotty Jr MD A Prof Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for John R Pedrotty Jr MD A Prof Corp was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John R Pedrotty Jr Md A Prof Corp · NPI 1831125277
Family Medicine organization in Coronado, California. Organization record, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1831125277 (Entity type: Organization)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** John R Pedrotty Jr MD (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** John Pedrotty, PRESIDENT OWNER
## Practice location
- **Address:** 1222 1ST ST STE 1, Coronado, CA 92118-1491
- **Phone:** (619) 922-3660 · **Fax:** (619) 435-7115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2026
- **Other identifiers:** Medicaid 00G802340 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1831125277) · Data from the CMS NPPES public registry.