PRADEEP PA MAMMEN (MD) – Advanced Heart Failure and Transplant Cardiology Physician, NPI 1386609196
Advanced Heart Failure and Transplant Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
100 ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY in TX
Provider Addresses for PRADEEP PA MAMMEN (MD)
5323 Harry Hines Blvd
Dallas, TX 753907208
Phone: (214) 645-8000
Fax: (214) 645-7532
Type: Location
4000 CAMBRIDGE ST STE G600
KANSAS CITY, KS 661608501
Phone: (913) 588-9600
Type: Mailing
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752845347
Phone: (214) 645-8000
Fax: (214) 645-7532
Type: Mailing
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
DALLAS, TX 753907208
Phone: (214) 645-8000
Fax: (214) 645-7532
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $8,741.
Total Amount is formed as General ($8,741) + Research ($0) + Ownership ($0) = $8,741.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Sarepta Therapeutics, Inc. ($7,000).
Total Amount
$8,741
General + Research + Ownership
Payments
47
Total payment records
General Amount
$8,741
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sarepta Therapeutics, Inc. | $7,000 |
| Impulse Dynamics (USA) Inc. | $342 |
| Abbott Laboratories | $278 |
| ABIOMED | $267 |
| Merck Sharp & Dohme LLC | $209 |
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: 2024-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040723000499 | I | Advanced Heart Failure And Transplant Cardiology | TX | TBD |
| I20230214000356 | I | Advanced Heart Failure And Transplant Cardiology | KS | TBD |
| I20240222003108 | I | Advanced Heart Failure And Transplant Cardiology | MO | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 91 | 77 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 86 | 32 | $0 |
| 93750 | Evaluation of lower heart chamber assist device | 47 | 13 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 40 | 40 | $0 |
| 94618 | Test for exercise-induced lung stress | 30 | 30 | $0 |
Insurance plans in this area (ZIP 75390)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| - | KS | |
| - | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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