NPIMap

Individual provider Active NPI

Raghu R. Tadikamalla, MD

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1164609491
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD426491 Issued in PA
Practice address
4815 Liberty Ave Ste 156
Pittsburgh, PA 15224-2156
Phone
(412) 578-4230
Fax
(412) 578-4201
NPI assigned
Jan 29, 2008
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101242949 VA
Cardiovascular Disease Physician 207RC0000X MD426491 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste 156
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste 156
Pittsburgh, PA 15224-2156
Phone (412) 578-4230

Other practice location 1

8101 Hinson Farm Rd
Suite 408
Alexandria, VA 22306-3403
Phone (703) 780-9014

Other identifiers 1

IdentifierTypeStateIssuer
1164609491MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtadikamalla141042@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115000095 PA Practitioner - Cardiovascular Disease (Cardiology) 0749369270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

2781 Leechburg Rd
Lower Burrell, PA 15068-3138
Phone (724) 226-3345

4800 Friendship Ave
Pittsburgh, PA 15224-1722

5140 Liberty Ave
Pittsburgh, PA 15224-2215

5141 Liberty Ave
Suite 201
Pittsburgh, PA 15224-2215
Phone (412) 578-3503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD426491PAMDCardiovascular Disease Physician
0101242949VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Oct 2, 2017 Accepting new patients
Allegheny Clinic Cardiovascular Disease CurrentSince Oct 2, 2017 Accepting new patients

Locations

2781 Leechburg Rd
New Kensington, PA 15068
Phone (724) 226-3345

4727 Friendship Ave
Ste 180
Pittsburgh, PA 15224
Phone (412) 203-4835

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

4815 Liberty Ave
Ste 156
Pittsburgh, PA 15224
Phone (412) 578-4230

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1164609491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 156",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-4230",
            "fax_number": "412-578-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 156",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-4230",
            "fax_number": "412-578-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 Hinson Farm Rd",
            "address_2": "Suite 408",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063403",
            "country_code": "US",
            "telephone_number": "703-780-9014",
            "fax_number": "703-780-9077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADIKAMALLA",
        "first_name": "RAGHU",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101242949",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD426491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164609491",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtadikamalla141042@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Ave Ste 156",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.