PRADEEP ATLA M.D.,M.P.H
NPI 1649446543
Internal Medicine - Gastroenterology in Hilo, HI
About Pradeep Atla M.d.,m.p.h NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRADEEP ATLA M.D.,M.P.H (NPI 1649446543) is an individual gastroenterology provider in Hilo, Hawaii, licensed in Oregon (MD177407) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Pradeep Atla M.d.,m.p.h 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 Pradeep Atla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fresno, CA 93711
- Reassigned Medicare billing, California enrollment
- 508 clinicians in this Medicare group
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- 701 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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Altru Hospital
Acute Care Hospitals · Grand Forks, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96720 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.
HILO, HI 96720
HILO, HI 96720
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 Pradeep Atla's NPI number?
The NPI number for Pradeep Atla is 1649446543. It was assigned to this individual provider in the NPPES registry on May 1, 2008.
Where is Pradeep Atla located?
Pradeep Atla practices at 1190 Waianuenue Ave, Hilo, HI 96720. The listed phone number is (808) 825-1982.
What is Pradeep Atla's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Pradeep Atla enrolled in Medicare?
Yes. Pradeep Atla 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 Pradeep Atla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Atla reassigns Medicare benefits to 2 organizations: Community Foundation Medical Group (Fresno, CA) and Altru Health System (Grand Forks, ND). 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 Pradeep Atla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pradeep Atla accept?
Health plans from Blue Cross Blue Shield of North Dakota and Providence Health Plan list Pradeep Atla 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 Pradeep Atla affiliated with any hospitals?
According to CMS data, Pradeep Atla is affiliated with Altru Hospital.
When was this NPI record last updated?
The NPPES record for Pradeep Atla was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Pradeep Atla, M.D.,M.P.H · NPI 1649446543
Gastroenterology physician in Hilo, Hawaii. Individual provider, active in the CMS NPPES registry since May 1, 2008.
## Identity
- **NPI:** 1649446543 (Entity type: Individual)
- **Enumerated:** May 1, 2008
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** MD177407 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1190 WAIANUENUE AVE, Hilo, HI 96720-2089
- **Phone:** (808) 825-1982
## 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): Community Foundation Medical Group (NPI 1003329491, Fresno, CA); Altru Health System (NPI 1043309552, Grand Forks, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** April 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649446543) · Data from the CMS NPPES public registry.