DR. PRAMOD THEETHA KARIYANNA (M.D.) – Interventional Cardiology Physician, NPI 1881005809

DR. PRAMOD THEETHA KARIYANNA (M.D.) is a healthcare provider. based in Pomona, California. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. A183121 (CA). The NPI Number for DR. PRAMOD THEETHA KARIYANNA (M.D.) is 1881005809

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRAMOD THEETHA KARIYANNA (M.D.)
NPI
1881005809
Phone
(909) 398-1550
Address
840 TOWNE CENTER DR
Enumeration Date
13 May 2014
Last Update Date
20 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7072672070
Graduation Year
2011 (15 years ago)
PAC ID
5193062040
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20230103002829
Address ID
CA955034866EU2773XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

534 INTERVENTIONAL CARDIOLOGY in NY

Provider Addresses for DR. PRAMOD THEETHA KARIYANNA (M.D.)

  • 840 TOWNE CENTER DR

    POMONA, CA 917675900

    Phone: (909) 398-1550

    Type: Mailing

  • 1 BROOKDALE PLZ

    CHC 134

    BROOKLYN, NY 112123139

    Phone: (734) 945-3021

    Type: Mailing

  • 8330 Red Oak St Ste 101

    Rancho Cucamonga, CA 917300603

    Phone: (909) 987-4922

    Fax: (909) 466-1190

    Type: Location

  • 790 E BONITA AVE FL 2

    POMONA, CA 917671906

    Phone: (909) 447-8585

    Fax: (909) 447-8593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $345.

Total Amount is formed as General ($345) + Research ($0) + Ownership ($0) = $345.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($269).

Total Amount

$345

General + Research + Ownership

Payments

7

Total payment records

General Amount

$345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210721001665IInterventional CardiologyWITBD
I20230103002829IInterventional CardiologyCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function233225$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only220160$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes15078$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8579$0
99291Critical care, first 30-74 minutes7826$0
View full utilization report →

Insurance plans in this area (ZIP 91767)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921993205View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. PRAMOD THEETHA KARIYANNA (M.D.)'s NPI?
You can confirm DR. PRAMOD THEETHA KARIYANNA (M.D.) with NPI 1881005809; it appears in the national provider directory.
Does this profile mean DR. PRAMOD THEETHA KARIYANNA (M.D.) is currently active?
Yes — DR. PRAMOD THEETHA KARIYANNA (M.D.) appears active in the national provider directory.
What kind of provider is DR. PRAMOD THEETHA KARIYANNA (M.D.)?
The page reflects Interventional Cardiology Physician for DR. PRAMOD THEETHA KARIYANNA (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. PRAMOD THEETHA KARIYANNA (M.D.)'s primary listing?
We display Pomona, California because that is what the record indicates for DR. PRAMOD THEETHA KARIYANNA (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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