ANITHA DEVI TANAM
NPI 1629570080
Nurse Practitioner - Family in Bedford, TX

Active since March 01, 2018PECOS Enrolled
86.29/100
CMS Quality Rating
601 N INDUSTRIAL BLVD, BEDFORD, TX 76021(817) 283-0161 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2025, Feb 19, 2022, Mar 1, 2018 (3 updates tracked since 2018).

About Anitha Devi Tanam NPPES

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

ANITHA DEVI TANAM (NPI 1629570080) is an individual family provider in Bedford, Texas, licensed in Texas (AP136656) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1629570080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANITHA DEVI TANAM
Location Address601 N INDUSTRIAL BLVDBedford, TX 76021-5234
Mailing Address4045 Legacy TrlCarrollton, TX 75010-6441 · (214) 429-8178
Sole ProprietorNo
Enumeration DateMarch 1, 2018
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1629570080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP136656
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP136656 (TX)
601 N INDUSTRIAL BLVD, Bedford, TX 76021

Secondary Practice Location 1

Location 15294 Belt Line Rd Ste 200Dallas, TX 75254-7571 · Phone (214) 785-2200

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anitha Devi Tanam 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 Reassignments

3

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

Clinic/Center
5294 BELT LINE RD STE 200
Dallas, TX 75254
  • Reassigned Medicare billing, Texas enrollment
  • 72 clinicians in this Medicare group
Family
1855 GATTIS SCHOOL RD
Round Rock, TX 78664
  • Reassigned Medicare billing, Texas enrollment
  • 362 clinicians in this Medicare group
General Practice
317 6TH AVE STE 400
Des Moines, IA 50309
  • Reassigned Medicare billing, Texas enrollment
  • 34 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76021 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

86.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.36
Improvement Activities40
Cost92.14

Other Providers at the Same Location NPPES 7

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

Pharmacist
601 N INDUSTRIAL BLVD
BEDFORD, TX 76021
Nurse Practitioner (Family)
601 N INDUSTRIAL BLVD
BEDFORD, TX 76021
Nurse Practitioner (Family)
601 N INDUSTRIAL BLVD
BEDFORD, TX 76021
Nurse Practitioner (Family)
601 N INDUSTRIAL BLVD
BEDFORD, TX 76021
Nurse Practitioner (Family)
601 N INDUSTRIAL BLVD
BEDFORD, TX 76021
Pharmacy
601 N INDUSTRIAL BLVD
BEDFORD, TX 76021
Nurse Practitioner (Family)
601 N INDUSTRIAL BLVD
BEDFORD, TX 76021

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 Anitha Tanam's NPI number?

The NPI number for Anitha Tanam is 1629570080. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Anitha Tanam located?

Anitha Tanam practices at 601 N Industrial Blvd, Bedford, TX 76021. The listed phone number is (817) 283-0161.

What is Anitha Tanam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anitha Tanam enrolled in Medicare?

Yes. Anitha Tanam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anitha Tanam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anitha Tanam reassigns Medicare benefits to 3 organizations: Catapult Health PA (Dallas, TX), Minuteclinic Telehealth Services Of Texas Association (Round Rock, TX) and Openloop Healthcare Partners PC (Des Moines, IA). 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 Anitha Tanam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anitha Tanam 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 Anitha Tanam 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 Anitha Tanam was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.