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DR. PRAVEEN K TAMIRISA MD
NPI 1679577597
Internal Medicine - Interventional Cardiology in Burleson, TX

Active since June 09, 2005PECOS Enrolled
11803 SOUTH FWY STE 115, BURLESON, TX 76028(817) 293-8441(817) 293-8505 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2020, Sep 19, 2019 (2 updates tracked since 2019).

About Dr. Praveen K Tamirisa Md NPPES

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

DR. PRAVEEN K TAMIRISA MD (NPI 1679577597) is an individual interventional cardiology provider in Burleson, Texas, licensed in Texas (S2912) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679577597
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. PRAVEEN K TAMIRISACredential: MD
Location Address11803 SOUTH FWY STE 115Burleson, TX 76028-7028
Mailing Address11803 South Fwy Ste 115Burleson, TX 76028-7028 · (817) 293-8441 · Fax (817) 293-8505
Phone(817) 293-8441
Fax(817) 293-8505
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1679577597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in TX · S2912✔ Licensed in MI · 4301077499
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 4301077499 (MI), 35079630T (OH)
11803 SOUTH FWY STE 115, Burleson, TX 76028
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Other Identifiers 2

Medicaid2258971OH
OtherP00711902Rrmc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Praveen K Tamirisa Md 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

2

Medicare enrollment records show Praveen Tamirisa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Toledo Hospital
973 mi
Emergency Medicine
1075 MEDICAL CENTER PARKWAY
Maumee, OH 43537
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1356015564 (567) 585-0800
Promedica Northwest Ohio Cardiology Consultants, LLC
977 mi
Cardiac Rehabilitation
2940 N MCCORD RD STE 101
Toledo, OH 43615
  • Reassigned Medicare billing, Ohio enrollment
  • 86 clinicians in this Medicare group
NPI 1649559394 (419) 842-3000

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 76028 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Tamirisa's NPI number?

The NPI number for Praveen Tamirisa is 1679577597. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Praveen Tamirisa located?

Praveen Tamirisa practices at 11803 South Fwy Ste 115, Burleson, TX 76028. The listed phone number is (817) 293-8441.

What is Praveen Tamirisa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Praveen Tamirisa enrolled in Medicare?

Yes. Praveen Tamirisa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Praveen Tamirisa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Tamirisa reassigns Medicare benefits to 2 organizations: The Toledo Hospital (Maumee, OH) and Promedica Northwest Ohio Cardiology Consultants, LLC (Toledo, OH). 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 Tamirisa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Praveen Tamirisa 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 6 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.