DR. ERICA SHANTHA TARABADKAR (MD) – Dermatology Physician, NPI 1093158305

DR. ERICA SHANTHA TARABADKAR (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 83936 (GA). The NPI Number for DR. ERICA SHANTHA TARABADKAR (MD) is 1093158305

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERICA SHANTHA TARABADKAR (MD)
NPI
1093158305
Phone
(404) 778-3333
Address
1525 CLIFTON RD NE
Enumeration Date
17 April 2013
Last Update Date
23 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043555484
Graduation Year
2013 (13 years ago)
PAC ID
3577895432
Group Practice PAC ID
6800784281
Professional Enrollment ID
I20240405000875
Address ID
GA303261418AT3379XNEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

393 DERMATOLOGY in WA

Provider Addresses for DR. ERICA SHANTHA TARABADKAR (MD)

  • 1525 CLIFTON RD NE

    ATLANTA, GA 303224200

    Phone: (404) 778-3333

    Type: Mailing

  • 850 REPUBLICAN STREET, BROTMAN ROOM 242

    UW MEDICAL CENTER AT LAKE UNION

    SEATTLE, WA 98109

    Phone: (404) 713-7216

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $628.

Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: LEO Pharma Inc. ($239).

Total Amount

$628

General + Research + Ownership

Payments

16

Total payment records

General Amount

$628

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-04-05

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
I20240405000875IDermatologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30322)

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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: 6800784281View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YNY
Dermatology, Micrographic Dermatologic Surgery (Mds)GA
D E R M A T O L O G YMN
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyIL

Reviews

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Frequently asked questions

How is DR. ERICA SHANTHA TARABADKAR (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ERICA SHANTHA TARABADKAR (MD) with NPI 1093158305.
Is DR. ERICA SHANTHA TARABADKAR (MD) listed as active for patients and plans?
The listing shows DR. ERICA SHANTHA TARABADKAR (MD) as active in the NPI system.
What is DR. ERICA SHANTHA TARABADKAR (MD) best known for clinically?
Directory data describes DR. ERICA SHANTHA TARABADKAR (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ERICA SHANTHA TARABADKAR (MD)?
DR. ERICA SHANTHA TARABADKAR (MD)'s geographic hint is Atlanta, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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