MR. PAVAN KUMAR TIYYAGURA MD
NPI 1366757361
Hospitalist in Mesa, AZ
About Mr. Pavan Kumar Tiyyagura Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAVAN KUMAR TIYYAGURA MD (NPI 1366757361) is an individual hospitalist provider in Mesa, Arizona, licensed in Arizona (43692) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Pavan Kumar Tiyyagura 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.
Medicare Billing Reassignments
2Medicare enrollment records show Pavan Tiyyagura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chandler, AZ 85224
- Reassigned Medicare billing, Arizona enrollment
- 120 clinicians in this Medicare group
Gilbert, AZ 85234
- Reassigned Medicare billing, Arizona enrollment
- 1,081 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MESA, AZ 85202
MESA, AZ 85202
MESA, AZ 85202
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 Pavan Tiyyagura's NPI number?
The NPI number for Pavan Tiyyagura is 1366757361. It was assigned to this individual provider in the NPPES registry on August 13, 2010.
Where is Pavan Tiyyagura located?
Pavan Tiyyagura practices at 1400 S Dobson Road Attn Amanda Gump/Hospitalists, Mesa, AZ 85202. The listed phone number is (480) 543-2034.
What is Pavan Tiyyagura's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Pavan Tiyyagura enrolled in Medicare?
Yes. Pavan Tiyyagura is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Pavan Tiyyagura's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pavan Tiyyagura reassigns Medicare benefits to 2 organizations: Pioneer Hospitalists, PLLC (Chandler, AZ) and Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ). Each 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 Pavan Tiyyagura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pavan Tiyyagura accept?
Health plans from Blue Cross Blue Shield of Arizona list Pavan Tiyyagura 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 Pavan Tiyyagura was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mr. Pavan Kumar Tiyyagura, MD · NPI 1366757361
Hospitalist physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since August 13, 2010.
## Identity
- **NPI:** 1366757361 (Entity type: Individual)
- **Enumerated:** August 13, 2010
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 43692 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 S DOBSON ROAD, ATTN AMANDA GUMP/HOSPITALISTS, Mesa, AZ 85202
- **Phone:** (480) 543-2034 · **Fax:** (480) 543-2647
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pioneer Hospitalists, PLLC (NPI 1033177316, Chandler, AZ); Banner Hospital Based Physicians Arizona LLC (NPI 1124374822, Gilbert, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** October 28, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1366757361) · Data from the CMS NPPES public registry.