Kiran C Tamirisa, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Oregon, Ohio. He graduated from medical school in 1974 and has 51 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Gundersen Lutheran Medical Center Inc, Meritus Medical Center Inc and his current practice location is
2600 Navarre Ave, Oregon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 696-7646.
Kiran C Tamirisa is licensed to practice in Ohio (license number 35045601) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851332829.
Physician's Profile
| Full Name | Kiran C Tamirisa |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 51 Years |
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| Location | 2600 Navarre Ave, Oregon, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kiran C Tamirisa graduated from medical school in 1974
NPI Data:
- NPI Number: 1851332829
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 06/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618870593
- Enrollment ID: I20250623000977
Medical Identifiers
Medical identifiers for Kiran C Tamirisa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851332829 | NPI | - | NPPES |
| 000000185388 | Other | OH | BCBS |
| 4272949-10 | Medicaid | MI | |
| 0440866 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 35045601 (Ohio) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 13332 (Wisconsin) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 35045601 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
| Meritus Medical Center Inc | 7113811795 | 563 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kiran C Tamirisa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kiran C Tamirisa, MD
2600 Navarre Ave, Pain Clinic,
Oregon, OH 43616-3207
Ph: () - | Kiran C Tamirisa, MD
2600 Navarre Ave,
Oregon, OH 43616-3207
Ph: (419) 696-7646 |
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