TEJASWI KATAKAM – Family Medicine Physician, NPI 1629647755

TEJASWI KATAKAM is a healthcare provider. based in Argyle, Texas. specializing in FAMILY PRACTICE. They hold a License No. V1508 (TX). The NPI Number for TEJASWI KATAKAM is 1629647755

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
TEJASWI KATAKAM
NPI
1629647755
Phone
(571) 309-5636
Address
613 16TH ST
Enumeration Date
22 June 2021
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146666259
Graduation Year
2015 (11 years ago)
PAC ID
2961925417
Group Practice PAC ID
5698194702
Professional Enrollment ID
I20250326000491
Address ID
TX750225910FL3041XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,545 FAMILY PRACTICE in LA

Provider Addresses for TEJASWI KATAKAM

  • 613 16TH ST

    ARGYLE, TX 762263389

    Phone: (571) 309-5636

    Type: Mailing

  • 1501 KINGS HWY

    SHREVEPORT, LA 711034228

    Phone: (318) 330-7615

    Type: Mailing

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: 2025-03-26

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
I20250326000491IFamily PracticeTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76226)

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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: 5698194702View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Internal Medicine, HospitalistPA
Internal Medicine, HospitalistTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Internal MedicineTX
Physician AssistantTX

Reviews

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Frequently asked questions

Can I verify TEJASWI KATAKAM with an NPI only?
You can start verification with NPI 1629647755 for TEJASWI KATAKAM, then check state licensing separately.
Is TEJASWI KATAKAM still practicing?
TEJASWI KATAKAM is currently listed as active in the public NPI registry.
What taxonomy line describes TEJASWI KATAKAM?
For research purposes, treat TEJASWI KATAKAM as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TEJASWI KATAKAM?
TEJASWI KATAKAM's geographic hint is Argyle, Texas in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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