DR. PRAVEEN K TAMIRISA (MD) – Interventional Cardiology Physician, NPI 1679577597
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PRAVEEN K TAMIRISA (MD)
South Freeway, Burleson, Tarrant County, Texas, 76028-4910, United States
BURLESON, TX 760287028
Phone: (817) 293-8441
Fax: (817) 293-8505
Mailing address matches the actual address.
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: 2005-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20031231000442 | I | Interventional Cardiology | OH | TBD |
| I20050128000642 | I | Interventional Cardiology | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76028)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | OH | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 39 | 31 |
| INTERVENTIONAL CARDIOLOGY | OH | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 776 | 655 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | TX | |
| - | TX | |
| Cardiac Electrophysiology | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Interventional Cardiology | TX | |
| Interventional Cardiology, Internal Medicine | TX | |
| Interventional Cardiology | TX | |
| Cardiovascular Disease (Cardiology), Interventional Radiology | TN | |
| - | MI | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN |
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