PAVANA NAGA GOPI KRISHNA TIRUMANISETTI (MD) – Family Medicine Physician, NPI 1083920086
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,506 FAMILY PRACTICE in AR
Provider Addresses for PAVANA NAGA GOPI KRISHNA TIRUMANISETTI (MD)
4021 W 8TH ST
LITTLE ROCK, AR 722042029
Phone: (501) 686-5021
Type: Mailing
1601 W 40TH AVE
PINE BLUFF, AR 716036069
Phone: (870) 541-6000
Fax: (870) 541-6009
Type: Location
2408 Broadmoor Blvd
Suite 2
Monroe, LA 712012963
Phone: (318) 807-0525
Fax: (318) 807-1077
Type: Location
309 Jackson St
Monroe, LA 712017407
Phone: (318) 966-4541
Fax: (318) 966-4543
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Exact Sciences Corporation ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200928002555 | I | Family Practice | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 236 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 75 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 101 | 78 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 61 | 51 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 59 | 53 | $0 |
Insurance plans in this area (ZIP 72204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | AR | |
| - | AR | |
| Internal Medicine | NY | |
| Internal Medicine, Nephrology | AR | |
| Diagnostic Radiology | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | AR | |
| - | AR |
Reviews
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