PRADEEP REDDY TATAGARI – Psychiatry Physician, NPI 1467614610

PRADEEP REDDY TATAGARI is a healthcare provider. based in Denison, Texas. specializing in PSYCHIATRY. They hold a License No. 55717 (WI). The NPI Number for PRADEEP REDDY TATAGARI is 1467614610

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
PRADEEP REDDY TATAGARI
NPI
1467614610
Phone
(903) 416-3000
Address
5012 S US HWY 75 SUITE 300
Enumeration Date
30 June 2008
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2623298650
Graduation Year
2003 (23 years ago)
PAC ID
5991987505
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20111123000054
Address ID
WI530249204GR975XXRDXX400
Telehealth
Yes

Contacts

Secure Messaging
ptatagari92284@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

2,132 PSYCHIATRY in TX

Provider Addresses for PRADEEP REDDY TATAGARI

  • 5012 S US HWY 75 SUITE 300

    ATTN BILLING

    DENISON, TX 750204587

    Phone: (903) 416-3000

    Type: Mailing

  • 701 HAWK WOOD LN

    PROSPER, TX 750782001

    Phone: (469) 526-3474

    Type: Mailing

  • 1220 Dewey Ave

    Wauwatosa, WI 532132504

    Phone: (270) 996-7254

    Fax: (469) 526-5628

    Type: Location

  • TMC Behavioral Health Center, 2601, Cornerstone Drive, Sherman, Grayson County, Texas, 75090, United States

    SHERMAN, TX 75092

    Phone: (903) 416-3000

    Fax: (903) 416-3001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-01-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111123000054IPsychiatryWITBD
I20191101000444IPsychiatryTXTBD
I20250114001263IPsychiatryMSTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes26176$0
90792Psychiatric diagnostic evaluation with medical services134123$0
99239Hospital discharge day management, more than 30 minutes7948$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3011$0
View full utilization report →

Insurance plans in this area (ZIP 75020)

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Provider's Procedures

PRADEEP REDDY TATAGARI performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYWI90792Psychiatric diagnostic evaluation with medical services1111

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: 6709794258View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm PRADEEP REDDY TATAGARI's NPI?
Yes. PRADEEP REDDY TATAGARI is listed with NPI 1467614610 in the public NPI dataset.
Does CMS list PRADEEP REDDY TATAGARI as active?
Yes — PRADEEP REDDY TATAGARI is active in the NPI listing used on this page.
What is PRADEEP REDDY TATAGARI's primary classification?
Psychiatry Physician is the headline specialty for PRADEEP REDDY TATAGARI here. Clinical services aligned with this taxonomy classification.
Where is PRADEEP REDDY TATAGARI based?
PRADEEP REDDY TATAGARI is tied to Denison, Texas in the data we show; additional addresses may exist on the full record.
Why does PRADEEP REDDY TATAGARI 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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