DR. PRITAM RAO POLKAMPALLY (M.D.) – Interventional Cardiology Physician, NPI 1487753877

DR. PRITAM RAO POLKAMPALLY (M.D.) is a healthcare provider. based in Mcdonough, Georgia. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 74071 (GA). The NPI Number for DR. PRITAM RAO POLKAMPALLY (M.D.) is 1487753877

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRITAM RAO POLKAMPALLY (M.D.)
NPI
1487753877
Phone
(770) 692-4000
Address
3333 JODECO ROAD
Enumeration Date
21 September 2006
Last Update Date
26 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706924000118
Graduation Year
2000 (26 years ago)
PAC ID
5294974614
Group Practice PAC ID
6204737216
Professional Enrollment ID
I20151218001982
Address ID
GA302535319MC3333XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

980 CARDIOVASCULAR DISEASE (CARDIOLOGY) in GA

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Provider Addresses for DR. PRITAM RAO POLKAMPALLY (M.D.)

  • 3333 JODECO ROAD

    SUITE A

    MCDONOUGH, GA 30253

    Phone: (770) 692-4000

    Fax: (770) 474-8510

    Type: Mailing

  • 350, Country Club Drive, Stockbridge, Henry County, Georgia, 30281, United States

    SUITE A

    STOCKBRIDGE, GA 302819084

    Phone: (770) 692-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,092.

Total Amount is formed as General ($1,092) + Research ($0) + Ownership ($0) = $1,092.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($250).

Total Amount

$1,092

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,092

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2015-12-18

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
I20151218001982ICardiovascular Disease (Cardiology)GATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,6111,193$0
99214Established patient office or other outpatient visit, 30-39 minutes1,156544$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function703694$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report439353$0
J2785Injection, regadenoson, 0.1 mg32481$0
View full utilization report →

Insurance plans in this area (ZIP 30253)

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Provider's Procedures

DR. PRITAM RAO POLKAMPALLY (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies5252
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart4646
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers18480

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: 6204737216View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)GA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Cardiovascular Disease (Cardiology), Interventional CardiologyGA
Interventional Cardiology, Cardiovascular Disease (Cardiology)AR
Cardiovascular Disease (Cardiology), Internal MedicineGA
Interventional Cardiology, Cardiovascular Disease (Cardiology)GA
Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

Is there an official ID for DR. PRITAM RAO POLKAMPALLY (M.D.) in U.S. healthcare records?
The official identifier for DR. PRITAM RAO POLKAMPALLY (M.D.) is NPI 1487753877.
Active or inactive — what applies to DR. PRITAM RAO POLKAMPALLY (M.D.)?
You should see DR. PRITAM RAO POLKAMPALLY (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. PRITAM RAO POLKAMPALLY (M.D.)?
DR. PRITAM RAO POLKAMPALLY (M.D.) is associated with Interventional Cardiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. PRITAM RAO POLKAMPALLY (M.D.) associated with Mcdonough?
Public fields place DR. PRITAM RAO POLKAMPALLY (M.D.) around Mcdonough, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. PRITAM RAO POLKAMPALLY (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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