Individual provider Active NPI

Prakash Gatta, MD

  • Surgery Physician
  • Tacoma, WA
National Provider Identifier
1467655688
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60164736 Issued in WA
Practice address
3124 S 19TH St Ste C220
Tacoma, WA 98405-2481
Phone
(253) 301-5050
NPI assigned
Jun 6, 2007
Last updated
Nov 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60164736 WA Primary

Addresses

Primary practice location

3124 S 19TH St Ste C220
Tacoma, WA 98405-2481

Mailing address

3124 S 19TH St Ste C220
Tacoma, WA 98405-2481
Phone (253) 301-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100929000754 WA Practitioner - General Surgery 4082795232 Reassigns benefits to 2 organizations
I20221215002998 TX Practitioner - General Surgery 4082795232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

1325 Pennsylvania Ave
Suite 680
Fort Worth, TX 76104-2133
Phone (817) 250-4235

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Dec 9, 2013 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Dec 2, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 2, 2022 Accepting new patients
Multicare Health System CurrentSince Dec 9, 2013 Accepting new patients
Multicare Health System Current Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Jan 18, 2022 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Jan 18, 2022 Accepting new patients
University of Cincinnati Surgeons, Inc. Surgery Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1325 Pennsylvania Ave
Ste 680
Ft Worth, TX 76104
Phone (817) 250-4235

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

3124 S 19th St
Ste C220
Tacoma, WA 98405
Phone (253) 301-5050

Interoperability endpoints

  • Direct secure messaging: pgatta2150184@direct.texashealth.org

Organizations & group practices 9

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1467655688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST STE C220",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052481",
            "telephone_number": "253-301-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S 19TH ST STE C220",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052481",
            "telephone_number": "253-301-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTA",
        "first_name": "PRAKASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60164736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.