TEJAS PULISETTY – Diagnostic Radiology Physician, NPI 1427584903

TEJAS PULISETTY is a healthcare provider. based in Saint louis, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. D0093301 (MD). The NPI Number for TEJAS PULISETTY is 1427584903

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
TEJAS PULISETTY
NPI
1427584903
Phone
(314) 800-7555
Address
12026 CONWAY RD
Enumeration Date
3 May 2017
Last Update Date
12 October 2022

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2482881600
Graduation Year
2017 (9 years ago)
PAC ID
5395000814
Group Practice PAC ID
5890681746
Professional Enrollment ID
I20251031001085
Address ID
MI480730988RO30701AVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

3,686 DIAGNOSTIC RADIOLOGY in NY

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Provider Addresses for TEJAS PULISETTY

  • 12026, Conway Road, Westwood, Saint Louis County, Missouri, 63131, United States

    SAINT LOUIS, MO 631312417

    Phone: (314) 800-7555

    Type: Mailing

  • Broadway, Elmhurst, Queens, New York, 11373, United States

    ELMHURST, NY 113731329

    Phone: (718) 334-4000

    Type: Location

  • 1201 S GRAND BLVD

    SAINT LOUIS, MO 631041016

    Phone:

    Type: Mailing

  • 1932 NILES CORTLAND RD NE STE X

    WARREN, OH 444841055

    Phone: (330) 306-5371

    Fax: (330) 306-5311

    Type: Location

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: 2025-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20220525001092IDiagnostic RadiologyDCTBD
I20220526000016IDiagnostic RadiologyMDTBD
I20221024001329IDiagnostic RadiologyOHTBD
I20251031001085IDiagnostic RadiologyMITBD

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
73502X-ray of hip, 2-3 views6867$0
72170X-ray of pelvis, 1-2 views6461$0
73030X-ray of shoulder, minimum of 2 views6461$0
74018X-ray of abdomen, 1 view5958$0
73560X-ray of knee, 1-2 views5847$0
View full utilization report →

Insurance plans in this area (ZIP 63131)

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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: 5890681746View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyNV
Diagnostic RadiologyMI
Diagnostic RadiologyMD
Geriatric Medicine, Diagnostic RadiologyMO
Diagnostic RadiologyCA
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

What federal number belongs to TEJAS PULISETTY?
The federal identifier for TEJAS PULISETTY is NPI 1427584903.
Is TEJAS PULISETTY currently active in the NPI registry?
CMS-published data lists TEJAS PULISETTY as an active registrant.
What kind of provider is TEJAS PULISETTY?
The page reflects Diagnostic Radiology Physician for TEJAS PULISETTY. Clinical services aligned with this taxonomy classification.
Does TEJAS PULISETTY practice in Missouri?
You will see Saint Louis, Missouri on file for TEJAS PULISETTY alongside any extra practice locations.
What if Saint Louis, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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