MR. ATIF A TATARI (D.O.) – Internal Medicine Physician, NPI 1366704900

MR. ATIF A TATARI (D.O.) is a healthcare provider. based in Bowling green, Kentucky. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials D.O.. They hold a License No. DO2588 (NV). The NPI Number for MR. ATIF A TATARI (D.O.) is 1366704900

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. ATIF A TATARI (D.O.)
NPI
1366704900
Phone
(516) 581-8081
Address
104 TAHOE CT
Enumeration Date
11 June 2012
Last Update Date
26 September 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
7023840022
Graduation Year
2012 (14 years ago)
PAC ID
2769765056
Group Practice PAC ID
0042111825
Professional Enrollment ID
I20211209001792
Address ID
NV891064158LA700XXLNXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

491 CARDIOVASCULAR DISEASE (CARDIOLOGY) in KY

Provider Addresses for MR. ATIF A TATARI (D.O.)

  • 104 TAHOE CT

    BOWLING GREEN, KY 421045312

    Phone: (516) 581-8081

    Type: Mailing

  • 250 PARK ST

    BOWLING GREEN, KY 421011760

    Phone: (270) 796-1000

    Type: Location

  • 5380 S RAINBOW BLVD STE 226

    LAS VEGAS, NV 891181879

    Phone: (702) 384-0022

    Type: Location

  • 700 SHADOW LN STE 240

    LAS VEGAS, NV 891064158

    Phone: (702) 384-0022

    Fax: (702) 384-0529

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $2,013.

Total Amount is formed as General ($2,013) + Research ($0) + Ownership ($0) = $2,013.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($286).

Total Amount

$2,013

General + Research + Ownership

Payments

81

Total payment records

General Amount

$2,013

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

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: 2021-12-09

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
I20211209001792ICardiovascular Disease (Cardiology)NVTBD

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 function833803$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes312146$0
J2785Injection, regadenoson, 0.1 mg28097$0
99214Established patient office or other outpatient visit, 30-39 minutes212126$0
A9500Technetium tc-99m sestamibi, diagnostic, per study dose191138$0
View full utilization report →

Insurance plans in this area (ZIP 42104)

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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: 0042111825View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NV
-NV
Cardiovascular Disease (Cardiology)MI
Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV
Internal Medicine, Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV
Cardiovascular Disease (Cardiology)NV
Interventional CardiologyNV

Reviews

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Frequently asked questions

How do payers reference MR. ATIF A TATARI (D.O.)?
For MR. ATIF A TATARI (D.O.), use NPI 1366704900 as the unique 10-digit identifier.
Would MR. ATIF A TATARI (D.O.) appear as active to a payer?
You can treat MR. ATIF A TATARI (D.O.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. ATIF A TATARI (D.O.)?
MR. ATIF A TATARI (D.O.)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Kentucky is MR. ATIF A TATARI (D.O.) registered?
Use Bowling Green, Kentucky as the headline location for MR. ATIF A TATARI (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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