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

Q: 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.

Q: What is Praveen Tamirisa's specialty?

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

Q: 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 5 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.

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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 5 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.