PRADEEP ATLA (M.D.,M.P.H) – Gastroenterology Physician, NPI 1649446543

PRADEEP ATLA (M.D.,M.P.H) is a healthcare provider. based in Portland, Oregon. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.,M.P.H. They hold a License No. MD-23030 (HI). The NPI Number for PRADEEP ATLA (M.D.,M.P.H) is 1649446543

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
PRADEEP ATLA (M.D.,M.P.H)
NPI
1649446543
Phone
(503) 255-3054
Address
10000 SE Main St Ste 112
Enumeration Date
1 May 2008
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7017327400
Graduation Year
2000 (26 years ago)
PAC ID
1658437678
Group Practice PAC ID
1355251604
Professional Enrollment ID
I20241011003836
Address ID
ND582017217GR4500XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

252 GASTROENTEROLOGY in OR

Provider Addresses for PRADEEP ATLA (M.D.,M.P.H)

  • 10000 SE Main St Ste 112

    Portland, OR 972162441

    Phone: (503) 255-3054

    Fax: (503) 255-7651

    Type: Location

  • 12401, East Sinto Avenue, Opportunity, Spokane Valley, Spokane County, Washington, 99216, United States

    SPOKANE VALLEY, WA 992161081

    Phone: (509) 922-2055

    Fax: (509) 922-2307

    Type: Mailing

  • 1190 WAIANUENUE AVE

    HILO, HI 967202089

    Phone: (808) 825-1982

    Type: Location

  • 6451 N FEDERAL HWY STE 800

    FORT LAUDERDALE, FL 333081409

    Phone: (954) 343-5825

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $343.

Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($285).

Total Amount

$343

General + Research + Ownership

Payments

6

Total payment records

General Amount

$343

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2024-10-11

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
I20090226000639IInternal MedicineCATBD
I20241011003836IGastroenterologyNDTBD

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
45380Biopsy of large bowel using a flexible endoscope3030$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2725$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1717$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 97216)

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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: 1355251604View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for PRADEEP ATLA (M.D.,M.P.H)?
PRADEEP ATLA (M.D.,M.P.H) — NPI 1649446543 — is the standard way to identify this listing.
Does the file indicate PRADEEP ATLA (M.D.,M.P.H) is practicing under active NPI?
Directory data currently reports PRADEEP ATLA (M.D.,M.P.H) as active.
What taxonomy line describes PRADEEP ATLA (M.D.,M.P.H)?
For research purposes, treat PRADEEP ATLA (M.D.,M.P.H) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does PRADEEP ATLA (M.D.,M.P.H) list a practice location?
Patients near Portland, Oregon may find PRADEEP ATLA (M.D.,M.P.H) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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