ATHICA VATANAPRADITH MD
NPI 1841634987
Internal Medicine in Dallas, TX

Active since April 19, 2013PECOS EnrolledAccepts Medicare Assignment
3600 GASTON AVE STE 550, DALLAS, TX 75246(214) 821-1177 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2022, Nov 21, 2017 (2 updates tracked since 2017).

About Athica Vatanapradith Md NPPES

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

ATHICA VATANAPRADITH MD (NPI 1841634987) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (R4159) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1841634987
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameATHICA VATANAPRADITHCredential: MD
Location Address3600 GASTON AVE STE 550Dallas, TX 75246-1905
Mailing Address3600 Gaston Ave Ste 550Dallas, TX 75246-1905 · (214) 821-1177
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 19, 2013
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1841634987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · R4159
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3600 GASTON AVE STE 550, Dallas, TX 75246

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 and accepts Medicare assignment

Athica Vatanapradith Md 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.

PECOS PAC ID749589711
PECOS Enrollment IDI20171003006912
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
205 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
136 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services64 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
28 services28 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
27 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services24 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450851
Location621 North Hall StreetDallas, TX 75226 · Dallas County
Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers98 claims98 services$31.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers78 claims78 services$76.54 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers82 claims202 services$29.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers27 claims150 services$16.88 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers34 claims166 services$13.82 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
16 suppliers60 claims60 services$47.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
3600 GASTON AVE STE 550
DALLAS, TX 75246
Internal Medicine
3600 GASTON AVE STE 550
DALLAS, TX 75246
Internal Medicine
3600 GASTON AVE STE 550
DALLAS, TX 75246
Internal Medicine
3600 GASTON AVE STE 550
DALLAS, TX 75246
Internal Medicine
3600 GASTON AVE STE 550
DALLAS, TX 75246
Internal Medicine
3600 GASTON AVE STE 550
DALLAS, TX 75246
Internal Medicine
3600 GASTON AVE STE 550
DALLAS, TX 75246
Internal Medicine
3600 GASTON AVE STE 550
DALLAS, TX 75246

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 Athica Vatanapradith's NPI number?

The NPI number for Athica Vatanapradith is 1841634987. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Athica Vatanapradith located?

Athica Vatanapradith practices at 3600 Gaston Ave Ste 550, Dallas, TX 75246. The listed phone number is (214) 821-1177.

What is Athica Vatanapradith's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Athica Vatanapradith enrolled in Medicare?

Yes. Athica Vatanapradith 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.

What insurance does Athica Vatanapradith accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Athica Vatanapradith 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 Athica Vatanapradith affiliated with any hospitals?

According to CMS data, Athica Vatanapradith is affiliated with Baylor University Medical Center, Baylor Scott & White Medical Center- Waxahachie, Baylor Scott & White Heart & Vascular Hospital - Dallas and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Athica Vatanapradith was last updated on April 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.