UDAY S KANAMALLA (MD) – Neuroradiology Physician, NPI 1043208978
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 INTERVENTIONAL RADIOLOGY in TX
Provider Addresses for UDAY S KANAMALLA (MD)
815 Pennsylvania Ave
Fort Worth, TX 761042294
Phone: (817) 321-0404
Type: Location
12700, Park Central Drive, Dallas, Dallas County, Texas, 75251, United States of America
SUITE 430
DALLAS, TX 752511500
Phone: (972) 239-8902
Fax: (972) 661-2551
Type: Mailing
816 W CANNON ST
FORT WORTH, TX 761043194
Phone: (817) 321-0404
Type: Mailing
PO BOX 740608
DALLAS, TX 753740608
Phone: (469) 317-9900
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 $270.
Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Stryker Corporation ($121).
Total Amount
$270
General + Research + Ownership
Payments
7
Total payment records
General Amount
$270
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $121 |
| Penumbra, Inc. | $77 |
| Medtronic, Inc. | $72 |
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: 2012-08-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120830000517 | I | Interventional Radiology | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 362 | 326 | $0 |
| 71045 | X-ray of chest, 1 view | 345 | 255 | $0 |
| 72125 | Ct scan of upper spine without contrast | 91 | 91 | $0 |
| 70551 | Mri scan of brain without contrast | 63 | 62 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 54 | 46 | $0 |
Insurance plans in this area (ZIP 76104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 71010 | X-ray of chest, 1 view, front | 538 | 470 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| Nuclear Medicine, Diagnostic Radiology | TX | |
| Diagnostic Radiology | TX | |
| - | TX | |
| - | TX | |
| Interventional Radiology, Diagnostic Radiology | TX | |
| Nurse Practitioner | TX |
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