PRADYUMNA AGASTHI (M.B.B.S) – Cardiovascular Disease Physician, NPI 1184034134

PRADYUMNA AGASTHI (M.B.B.S) is a healthcare provider. based in Tulsa, Oklahoma. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.B.B.S. They hold a License No. 44552 (OK). The NPI Number for PRADYUMNA AGASTHI (M.B.B.S) is 1184034134

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
PRADYUMNA AGASTHI (M.B.B.S)
NPI
1184034134
Phone
Not provided
Address
6600 S YALE AVE STE 1200
Enumeration Date
30 April 2014
Last Update Date
25 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186842187
Graduation Year
2012 (14 years ago)
PAC ID
5395014450
Group Practice PAC ID
8820900293
Professional Enrollment ID
I20241223000296
Address ID
OK744015075MU300XXDRXX300

Contacts

Secure Messaging
pagasthi387154@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

305 CARDIOVASCULAR DISEASE (CARDIOLOGY) in OK

Provider Addresses for PRADYUMNA AGASTHI (M.B.B.S)

  • 6600 S YALE AVE STE 1200

    TULSA, OK 741363361

    Phone:

    Type: Mailing

  • 341 S 33RD ST

    MUSKOGEE, OK 744015037

    Phone: (918) 683-1831

    Fax: (918) 687-7043

    Type: Location

  • 13400 E Shea Blvd

    Scottsdale, AZ 852595452

    Phone: (480) 301-8000

    Type: Location

  • 200 1st St SW

    Rochester, MN 559050001

    Phone: (507) 284-2511

    Type: Location

  • 222 N 7th St

    Bismarck, ND 585014436

    Phone: (701) 323-6000

    Type: Location

  • 13400 E. SHEA BLVD

    SCOTTSDALE, AZ 85259

    Phone: (480) 301-8000

    Type: Mailing

  • 13400 E SHEA BLVD

    SCOTTSDALE, AZ 852595452

    Phone: (480) 301-8000

    Type: Location

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $1,797.

Total Amount is formed as General ($1,797) + Research ($0) + Ownership ($0) = $1,797.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($964).

Total Amount

$1,797

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,797

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2024-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240207002649ICardiovascular Disease (Cardiology)SDTBD
I20241223000296ICardiovascular Disease (Cardiology)OKTBD

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 only1414$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 74136)

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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: 8820900293View full group profile

Reviews

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Frequently asked questions

What is the standard ID for PRADYUMNA AGASTHI (M.B.B.S) in the U.S.?
In the U.S., PRADYUMNA AGASTHI (M.B.B.S) is identified by NPI 1184034134.
Is PRADYUMNA AGASTHI (M.B.B.S) currently accepting referrals based on NPI status?
Registry metadata lists PRADYUMNA AGASTHI (M.B.B.S) as active.
What does the directory say PRADYUMNA AGASTHI (M.B.B.S) does?
Insurance directories may phrase it differently, but here PRADYUMNA AGASTHI (M.B.B.S) maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to PRADYUMNA AGASTHI (M.B.B.S)?
PRADYUMNA AGASTHI (M.B.B.S) shows a connection to Tulsa, Oklahoma in registry-derived data.
Can I export PRADYUMNA AGASTHI (M.B.B.S)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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