PRADEEP ATLA M.D.,M.P.H – NPI #1649446543
Internal Medicine

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

PRADEEP ATLA is a physician located in HILO, HI. NPPES has assigned the NPI number 1649446543 to PRADEEP ATLA on May 01, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology

The NPI profile was last updated on Apr 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRADEEP ATLA below.

NPI Profile for
PRADEEP ATLA

NPI Number
1649446543
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PRADEEP ATLA
Credentials
M.D.,M.P.H
Primary location
1190 WAIANUENUE AVE
HILO, HI 96720-2089
Phone: (808) 825-1982 Fax:
1 Other location(s):
10000 SE Main St Ste 112
Portland, OR 97216-2441
Phone: (503) 255-3054
Fax: (503) 255-7651
Mailing address
6451 N FEDERAL HWY STE 800
FORT LAUDERDALE, FL 33308-1409
Phone: (954) 343-5825 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 23, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0100X
- Internal Medicine / Gastroenterology (Primary)
HI MD-23030

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PRADEEP ATLA is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVENTIST HEALTH PORTLAND
      10123 SE MARKET STREET
      PORTLAND, OR 97216
    • MERCY MEDICAL CENTER
      2700 NW STEWART PARKWAY
      ROSEBURG, OR 97471

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