NIRANDR INTHACHAK (M.D.) – Diagnostic Radiology Physician, NPI 1013900489

NIRANDR INTHACHAK (M.D.) is a healthcare provider. based in Douglas, Georgia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 020744 (GA). The NPI Number for NIRANDR INTHACHAK (M.D.) is 1013900489

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
NIRANDR INTHACHAK (M.D.)
NPI
1013900489
Phone
Not provided
Address
1101 OCILLA RD
Enumeration Date
31 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4783333603
Graduation Year
1972 (54 years ago)
PAC ID
2961580584
Group Practice PAC ID
2769485655
Professional Enrollment ID
I20080423000279
Address ID
GA315332207DO1101XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,271 DIAGNOSTIC RADIOLOGY in GA

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Provider Addresses for NIRANDR INTHACHAK (M.D.)

  • Coffee Regional Medical Center, 1101, Ocilla Road, Douglas, Coffee County, Georgia, 31533, United States

    DOUGLAS, GA 315332207

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-04-23

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080423000279IDiagnostic RadiologyGATBD

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
71045X-ray of chest, 1 view755426$0
71046X-ray of chest, 2 views363315$0
77067Screening mammography265265$0
77063Screening 3d breast mammography264264$0
93880Ultrasound of both sides of head and neck blood flow9797$0
View full utilization report →

Insurance plans in this area (ZIP 31533)

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Provider's Procedures

NIRANDR INTHACHAK (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYGA73630X-ray of foot, minimum of 3 views8877
DIAGNOSTIC RADIOLOGYGA93922Ultrasound study of arteries of both arms and legs2826
DIAGNOSTIC RADIOLOGYGA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers109103

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: 2769485655View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyGA
Diagnostic RadiologyGA
Diagnostic RadiologyTX
Diagnostic RadiologyMI
Diagnostic RadiologyGA
Diagnostic RadiologyCT
Diagnostic RadiologyTX
Interventional Radiology, Diagnostic RadiologyGA
Diagnostic RadiologyMS
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

How is NIRANDR INTHACHAK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists NIRANDR INTHACHAK (M.D.) with NPI 1013900489.
Can I rely on NIRANDR INTHACHAK (M.D.) being an active provider?
As of the registry snapshot, NIRANDR INTHACHAK (M.D.) is marked active.
What taxonomy line describes NIRANDR INTHACHAK (M.D.)?
For research purposes, treat NIRANDR INTHACHAK (M.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does NIRANDR INTHACHAK (M.D.) serve?
NIRANDR INTHACHAK (M.D.)'s listing highlights Douglas, Georgia; more addresses can appear in NPPES.
Why does NIRANDR INTHACHAK (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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