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PRAVEEN VENKATA POLAMRAJU
NPI 1417418260
Radiology - Diagnostic Radiology in Dallas, TX

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
6201 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-9570 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Praveen Venkata Polamraju NPPES

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

PRAVEEN VENKATA POLAMRAJU (NPI 1417418260) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (V5814) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417418260
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePRAVEEN VENKATA POLAMRAJU
Location Address6201 HARRY HINES BLVDDallas, TX 75390-2621
Mailing AddressPo Box 845347Dallas, TX 75284-5347
Phone(214) 648-9570
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1417418260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · V5814
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6201 HARRY HINES BLVD, Dallas, TX 75390
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Praveen Venkata Polamraju 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 ID8729418249
PECOS Enrollment IDI20250702004531
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 Reassignments

3

Medicare enrollment records show Praveen Polamraju reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
0.2 mi
Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1043418205 (214) 645-0624
The General Hospital Corporation
1,552 mi
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 clinicians in this Medicare group
NPI 1023049236 (617) 726-2000
Massachusetts General Physicians Organization Inc
1,552 mi
Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,360 clinicians in this Medicare group
NPI 1801874573 (617) 724-0287

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALVIN A CHANDRA M.D.
Internal Medicine (Cardiovascular Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MR. JONATHAN DEVRIES D.O.
Psychiatry & Neurology (Psychiatry)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0580
ABDULLAH SHOAIB M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3916
DR. SITARAM BARATH MD
Radiology (Vascular & Interventional Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-1717
BRITNEY WEBSTER APRN, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-0599
DR. HELEN LYNNE KING M.D.
Internal Medicine (Infectious Disease)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 633-5555
MURTAZA AHMED MD
Hospitalist
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-3597
LULU LIU TENORIO MD
Radiology (Diagnostic Radiology)
6201 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (469) 207-3563

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 Praveen Polamraju's NPI number?

The NPI number for Praveen Polamraju is 1417418260. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Praveen Polamraju located?

Praveen Polamraju practices at 6201 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-9570.

What is Praveen Polamraju's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Praveen Polamraju enrolled in Medicare?

Yes. Praveen Polamraju 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 Praveen Polamraju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Polamraju reassigns Medicare benefits to 3 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX), The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). 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 Praveen Polamraju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Praveen Polamraju accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Praveen Polamraju 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.

Is Praveen Polamraju affiliated with any hospitals?

According to CMS data, Praveen Polamraju is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Praveen Polamraju was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.