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DR. PRADEEPKUMAR CHARLA MD
NPI 1043516735
Pediatrics - Pediatric Cardiology in Rochester, NY

Active since January 28, 2011PECOS Enrolled
62 EMPIRE BLVD, ROCHESTER, NY 14609(585) 565-2341(949) 779-3303 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 9, 2026, Jul 17, 2023, Sep 29, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Pradeepkumar Charla Md NPPES

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

DR. PRADEEPKUMAR CHARLA MD (NPI 1043516735) is an individual pediatric cardiology provider in Rochester, New York, licensed in New York (316270) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043516735
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. PRADEEPKUMAR CHARLACredential: MD
Location Address62 EMPIRE BLVDRochester, NY 14609-4356
Mailing Address62 Empire BlvdRochester, NY 14609-4356 · (585) 565-2341 · Fax (949) 779-3303
Phone(585) 565-2341
Fax(949) 779-3303
Sole ProprietorYes
Enumeration DateJanuary 28, 2011
Last NPPES UpdateApril 9, 20265 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1043516735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in NY · 316270✔ Licensed in OH · 35.133440
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedInternal Medicine · Adult Congenital Heart DiseaseTaxonomy 207RA0002X · License 316270 (NY)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35.133440 (OH)
62 EMPIRE BLVD, Rochester, NY 14609
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pradeepkumar Charla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Pradeepkumar Charla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Cardiology
5.1 mi
Adolescent Medicine
601 ELMWOOD AVE, BOX 635
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1316986391 (585) 275-7787

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
28 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services16 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
19 services19 patients
Ultrasound of heart for congenital defect 93303
An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.
18 services18 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
18 services18 patients

Other Providers at the Same Location NPPES 2

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

DR. JOHN LAWRENCE FAMA DMD
Dentist (General Practice)
62 EMPIRE BLVD
ROCHESTER, NY 14609
Monroe County (585) 482-3533
CONGENITAL HEART COMPASS MEDICAL PLLC
Pediatrics (Pediatric Cardiology)
62 EMPIRE BLVD
ROCHESTER, NY 14609
Monroe County (585) 340-7402

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 Pradeepkumar Charla's NPI number?

The NPI number for Pradeepkumar Charla is 1043516735. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Where is Pradeepkumar Charla located?

Pradeepkumar Charla practices at 62 Empire Blvd, Rochester, NY 14609. The listed phone number is (585) 565-2341.

What is Pradeepkumar Charla's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Pradeepkumar Charla enrolled in Medicare?

Yes. Pradeepkumar Charla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pradeepkumar Charla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pradeepkumar Charla reassigns Medicare benefits to Pediatric Cardiology (Rochester, NY). The 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 Pradeepkumar Charla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pradeepkumar Charla accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Pradeepkumar Charla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pradeepkumar Charla was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.