| Tejas Pulisetty, | |
|
1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484-1055 | |
| (330) 306-5371 | |
| (330) 306-5311 |
| Full Name | Tejas Pulisetty |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 8 Years |
| Location | 1932 Niles Cortland Rd Ne Ste X, Warren, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427584903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | D0093301 (Maryland) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 35.146465 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Fairfield Medical Center | Lancaster, OH | Hospital |
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Mercy Health - Tiffin Hospital | Tiffin, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Radiology Corp | 6507754983 | 255 |
| Entity Name | University Of Maryland Diagnostic Imaging Specialists, P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154335487 PECOS PAC ID: 7719873298 Enrollment ID: O20040223000685 |
| Entity Name | University Imaging Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245245307 PECOS PAC ID: 2769378686 Enrollment ID: O20040226000325 |
| Entity Name | University Of Maryland Diagnostic Radiology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467996959 PECOS PAC ID: 0345513248 Enrollment ID: O20170828004107 |
| Entity Name | Columbus Radiology Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20210111002273 |
| Mailing Address | Practice Location Address |
|---|---|
| Tejas Pulisetty, 1201 S Grand Blvd, Saint Louis, MO 63104-1016 Ph: () - | Tejas Pulisetty, 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484-1055 Ph: (330) 306-5371 |
Dr. Sriram Mannava, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Dr. Murray H Weissmann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Carol Congeni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Dr. Kevin Daniel Kelley, M.D., PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1353 E Market St, Warren, OH 44483 Phone: 330-841-9399 | |
Mercedes E Ramas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Sami Sid Ahmed Elsayed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 |