PAVAN SARIDENA (MD) – Gastroenterology Physician, NPI 1922003680

PAVAN SARIDENA (MD) is a healthcare provider. based in Dallas, Texas. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. L5127 (TX). The NPI Number for PAVAN SARIDENA (MD) is 1922003680

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
PAVAN SARIDENA (MD)
NPI
1922003680
Phone
(903) 291-6187
Address
PO BOX 610393
Enumeration Date
17 June 2005
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037576042
Graduation Year
1997 (29 years ago)
PAC ID
0143291757
Group Practice PAC ID
4789957440
Professional Enrollment ID
I20040805000312
Address ID
TX756052410LO707XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

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Provider Addresses for PAVAN SARIDENA (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752610393

    Phone: (903) 291-6187

    Fax: (903) 237-1810

    Type: Mailing

  • 707, Hollybrook Drive, Longview, Gregg County, Texas, 75605, United States

    LONGVIEW, TX 756052410

    Phone: (903) 753-3331

    Fax: (903) 247-0643

    Type: Location

  • 709 HOLLYBROOK DR STE 3401

    LONGVIEW, TX 756052412

    Phone: (903) 753-3331

    Fax: (903) 247-0643

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $2,331.

Total Amount is formed as General ($2,331) + Research ($0) + Ownership ($0) = $2,331.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: ABBVIE INC. ($923).

Total Amount

$2,331

General + Research + Ownership

Payments

152

Total payment records

General Amount

$2,331

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-05

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
I20040805000312IGastroenterologyTXTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml98421$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare244242$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope127124$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope119114$0
99213Established patient office or other outpatient visit, 20-29 minutes11092$0
View full utilization report →

Insurance plans in this area (ZIP 75261)

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Provider's Procedures

PAVAN SARIDENA (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope5856
GASTROENTEROLOGYTX45378Diagnostic examination of large bowel using an endoscope6767
GASTROENTEROLOGYTX45385Removal of polyps or growths of large bowel using an endoscope130128

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: 4789957440View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
-TX
Emergency Medicine, HospitalistTX
P O D I A T R YTX
P A T H O L O G YTX
Family PracticeTX
-TX
-TX

Reviews

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Frequently asked questions

How do I look up PAVAN SARIDENA (MD) by NPI?
Use NPI 1922003680 when you need to reference PAVAN SARIDENA (MD) in forms, claims, or directories.
Does this profile mean PAVAN SARIDENA (MD) is currently active?
Yes — PAVAN SARIDENA (MD) appears active in the national provider directory.
What kind of provider is PAVAN SARIDENA (MD)?
The page reflects Gastroenterology Physician for PAVAN SARIDENA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place PAVAN SARIDENA (MD)?
The snapshot lists Dallas, Texas for PAVAN SARIDENA (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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