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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629570080, enumerated as an "individual" on March 01, 2018.

The provider is located at 601 N INDUSTRIAL BLVD BEDFORD, TX 76021 and the phone number is (817) 283-0161.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.