PRAKASH GAJERA – Vascular & Interventional Radiology Physician, NPI 1013448240

PRAKASH GAJERA is a healthcare provider. based in Tyler, Texas. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold a License No. R9959 (TX). The NPI Number for PRAKASH GAJERA is 1013448240

Main info

Male
9 Years Of Experience
Name
PRAKASH GAJERA
NPI
1013448240
Phone
(817) 321-0404
Address
627 TURTLE CREEK DR
Enumeration Date
21 March 2017
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8173210470
Graduation Year
2017 (9 years ago)
PAC ID
3072979111
Group Practice PAC ID
7911897301
Professional Enrollment ID
I20230516002946
Address ID
TX761042224FO815XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

450 INTERVENTIONAL RADIOLOGY in TX

Provider Addresses for PRAKASH GAJERA

  • 627 TURTLE CREEK DR

    TYLER, TX 757011832

    Phone: (817) 321-0404

    Type: Location

  • 815 Pennsylvania Ave

    Fort Worth, TX 761042224

    Phone: (817) 321-0404

    Type: Location

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753907201

    Phone:

    Type: Mailing

  • 816 W CANNON ST

    FORT WORTH, TX 761043146

    Phone: (817) 321-0404

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $267.

Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Inari Medical, Inc. ($99).

Total Amount

$267

General + Research + Ownership

Payments

7

Total payment records

General Amount

$267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2023-05-16

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
I20230516002946IInterventional RadiologyTXTBD

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 view599569$0
71046X-ray of chest, 2 views135135$0
71250Ct scan of chest without contrast113112$0
74018X-ray of abdomen, 1 view112102$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes9086$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 7911897301View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Nuclear Medicine, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
-TX
Interventional Radiology, Diagnostic RadiologyTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I use this page to confirm PRAKASH GAJERA's NPI?
Yes. PRAKASH GAJERA is listed with NPI 1013448240 in the public NPI dataset.
Does the file indicate PRAKASH GAJERA is practicing under active NPI?
Directory data currently reports PRAKASH GAJERA as active.
What is PRAKASH GAJERA's primary classification?
Vascular & Interventional Radiology Physician is the headline specialty for PRAKASH GAJERA here. Clinical services aligned with this taxonomy classification.
Does PRAKASH GAJERA list a practice location?
Patients near Tyler, Texas may find PRAKASH GAJERA in results; validate coverage separately.
Why does PRAKASH GAJERA have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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