DR. PRADEEPKUMAR CHARLA (MD) – Pediatric Cardiology Physician, NPI 1043516735

DR. PRADEEPKUMAR CHARLA (MD) is a healthcare provider. based in Brecksville, Ohio. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 316270 (NY). The NPI Number for DR. PRADEEPKUMAR CHARLA (MD) is 1043516735

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRADEEPKUMAR CHARLA (MD)
NPI
1043516735
Phone
(647) 981-2216
Address
9478 RIVER BIRCH RUN
Enumeration Date
28 January 2011
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5852756108
Graduation Year
2007 (19 years ago)
PAC ID
2769623206
Group Practice PAC ID
3870490139
Professional Enrollment ID
I20220511000949
Address ID
NY146420001RO601XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
pcharla271157@direct.urmc.rochester.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness95
Years active:15State licenses:2Other names

2,130 PEDIATRIC MEDICINE in NY

Provider Addresses for DR. PRADEEPKUMAR CHARLA (MD)

  • 9478 RIVER BIRCH RUN

    BRECKSVILLE, OH 441413539

    Phone: (647) 981-2216

    Type: Mailing

  • 506 6TH ST

    BROOKLYN, NY 11215

    Phone: (718) 780-5260

    Type: Location

  • 62 EMPIRE BLVD

    ROCHESTER, NY 146094356

    Phone: (585) 565-2341

    Fax: (949) 779-3303

    Type: Mailing

  • 601 ELMWOOD AVE BOX 635

    ROCHESTER, NY 146420001

    Phone: (585) 275-6108

    Type: Mailing

  • 601 ELMWOOD AVE

    ROCHESTER, NY 146420001

    Phone: (585) 275-6108

    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: 2022-05-11

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
I20220511000949IPediatric MedicineNYTBD

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 only4923$0
93325Ultrasound of heart with color-depicted blood flow, rate and valve function3223$0
93303Ultrasound of heart for congenital defect2723$0
93320Ultrasound of heart blood flow, valves and chambers2723$0
99214Established patient office or other outpatient visit, 30-39 minutes1914$0
View full utilization report →

Insurance plans in this area (ZIP 44141)

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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: 3870490139View full group profile
NameSpecialtyState
Pediatric MedicineNY
Pediatric MedicineNY
Pediatric MedicineDC
-CT
Cardiovascular Disease (Cardiology), Pediatric MedicineCA
Physician AssistantNY
Cardiovascular Disease (Cardiology)NY
Cardiovascular Disease (Cardiology)NY
Pediatric Medicine, Cardiovascular Disease (Cardiology)NY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. PRADEEPKUMAR CHARLA (MD)?
NPI 1043516735 is assigned to DR. PRADEEPKUMAR CHARLA (MD) under the national enumeration system.
Is DR. PRADEEPKUMAR CHARLA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. PRADEEPKUMAR CHARLA (MD) treat or focus on?
Patients typically see DR. PRADEEPKUMAR CHARLA (MD) under the specialty Pediatric Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. PRADEEPKUMAR CHARLA (MD)?
The snapshot lists Brecksville, Ohio for DR. PRADEEPKUMAR CHARLA (MD); download NPPES for the complete set.
What if Brecksville, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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