DR. PANKAJ SRIVASTAVA (MD) – Internal Medicine Physician, NPI 1487655957

DR. PANKAJ SRIVASTAVA (MD) is a healthcare provider. based in Dyersburg, Tennessee. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD34709 (TN). The NPI Number for DR. PANKAJ SRIVASTAVA (MD) is 1487655957

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. PANKAJ SRIVASTAVA (MD)
NPI
1487655957
Phone
(731) 286-1900
Address
1445 US HIGHWAY 51 BYP E
Enumeration Date
9 August 2005
Last Update Date
3 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7316357000
Graduation Year
1997 (29 years ago)
PAC ID
6204826142
Group Practice PAC ID
7911160254
Professional Enrollment ID
I20040513001027
Address ID
TN380635903RI521XXNXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 INTERNAL MEDICINE in TN

Provider Addresses for DR. PANKAJ SRIVASTAVA (MD)

  • 1445 US HIGHWAY 51 BYP E

    SUITE C

    DYERSBURG, TN 380242127

    Phone: (731) 286-1900

    Fax: (731) 286-1939

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $197.

Total Amount is formed as General ($197) + Research ($0) + Ownership ($0) = $197.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($50).

Total Amount

$197

General + Research + Ownership

Payments

9

Total payment records

General Amount

$197

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2004-05-13

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
I20040513001027IInternal MedicineTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,137270$0
96127Assessment of emotional or behavioral problems831171$0
36415Insertion of needle into vein for collection of blood sample576248$0
99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional441136$0
J1100Injection, dexamethasone sodium phosphate, 1 mg35039$0
View full utilization report →

Insurance plans in this area (ZIP 38024)

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Provider's Procedures

DR. PANKAJ SRIVASTAVA (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETN20610Aspiration and/or injection of large joint or joint capsule8754
INTERNAL MEDICINETN73630X-ray of foot, minimum of 3 views1411
INTERNAL MEDICINETN85610Blood test, clotting time15952

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: 7911160254View full group profile
NameSpecialtyState
Clinical Social WorkerTN
Nurse PractitionerTN
Family PracticeTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Is there an official ID for DR. PANKAJ SRIVASTAVA (MD) in U.S. healthcare records?
The official identifier for DR. PANKAJ SRIVASTAVA (MD) is NPI 1487655957.
Is there an active status for DR. PANKAJ SRIVASTAVA (MD)?
For scheduling context, DR. PANKAJ SRIVASTAVA (MD) is shown as active in the registry.
What expertise is attributed to DR. PANKAJ SRIVASTAVA (MD)?
DR. PANKAJ SRIVASTAVA (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. PANKAJ SRIVASTAVA (MD) located near Dyersburg?
DR. PANKAJ SRIVASTAVA (MD) currently maps to Dyersburg, Tennessee in this extract.
Does DR. PANKAJ SRIVASTAVA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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