PREM THANARATNAM (M.D.) – Vascular & Interventional Radiology Physician, NPI 1285029645

PREM THANARATNAM (M.D.) is a healthcare provider. based in Bronx, New York. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 22108 (NV). The NPI Number for PREM THANARATNAM (M.D.) is 1285029645

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
PREM THANARATNAM (M.D.)
NPI
1285029645
Phone
(718) 696-2583
Address
111 E 210TH ST
Enumeration Date
2 April 2015
Last Update Date
4 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026165585
Graduation Year
2013 (13 years ago)
PAC ID
5799072625
Group Practice PAC ID
4880679976
Professional Enrollment ID
I20230308000664
Address ID
NV890523839HE3001XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,685 DIAGNOSTIC RADIOLOGY in NY

Provider Addresses for PREM THANARATNAM (M.D.)

  • 111 E 210TH ST

    BRONX, NY 104672401

    Phone: (718) 696-2583

    Fax: (718) 881-5074

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $691.

Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Inari Medical, Inc. ($293).

Total Amount

$691

General + Research + Ownership

Payments

19

Total payment records

General Amount

$691

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2023-03-08

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
I20230308000664IDiagnostic RadiologyNVTBD

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 view1,155969$0
74177Ct scan of abdomen and pelvis with contrast354347$0
71275Ct scan of blood vessels of chest with contrast207204$0
70450Ct scan head or brain without contrast113113$0
74176Ct scan of abdomen and pelvis without contrast10299$0
View full utilization report →

Insurance plans in this area (ZIP 10467)

Loading plans...

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: 4880679976View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyNV
-UT
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineMN
Nuclear Medicine, Diagnostic RadiologyUT
Diagnostic Radiology, Nuclear MedicineUT
Diagnostic RadiologyMA
Diagnostic Radiology, Nuclear MedicineUT
-UT
Diagnostic Radiology, Nuclear MedicineUT
Diagnostic RadiologyPA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for PREM THANARATNAM (M.D.)?
Save NPI 1285029645 if you need a stable reference for PREM THANARATNAM (M.D.).
Is PREM THANARATNAM (M.D.) active in the national directory?
PREM THANARATNAM (M.D.)'s public NPI profile is in an active state.
Can you summarize PREM THANARATNAM (M.D.)'s specialty in plain language?
Clinically, the directory lists PREM THANARATNAM (M.D.) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Does PREM THANARATNAM (M.D.) practice in New York?
You will see Bronx, New York on file for PREM THANARATNAM (M.D.) alongside any extra practice locations.
Is PREM THANARATNAM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1285029645. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

GASTONE CREA (MD)

Vascular & Interventional Radiology Physician
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
NPI: 1558367227

MR. JONATHAN TAD FOGEL (M.D.)

Emergency Medicine Physician
1345 RXR PLZ FL 13
NPI: 1881692648

MS. MARIA G FARROW (NP)

Acute Care Nurse Practitioner
5700, Arlington Avenue, Skyview, The Bronx, Bronx County, New York, 10471, United States
NPI: 1083689830
5645 MAIN ST
NPI: 1508805805

DR. RALPH B LICHTENSTEIN (M.D.)

Diagnostic Radiology Physician
1200, Waters Place, The Bronx, Bronx County, New York, 10461, United States
NPI: 1508895160

DR. MARC PRAGER (MD)

Diagnostic Radiology Physician
1200, Waters Place, The Bronx, Bronx County, New York, 10461, United States
NPI: 1588695522

DR. DAVID H NOBLE (MD)

Diagnostic Radiology Physician
1200, Waters Place, The Bronx, Bronx County, New York, 10461, United States
NPI: 1114952900

UNIVERSITY DIAGNOSTIC MEDICAL IMAGING,PC

Diagnostic Radiology Physician
1200, Waters Place, The Bronx, Bronx County, New York, 10461, United States
NPI: 1922032150

DR. DANIEL S GURELL (MD)

Diagnostic Radiology Physician
1200, Waters Place, The Bronx, Bronx County, New York, 10461, United States
NPI: 1336164029