Individual Healthcare Provider
Pavana Naga Gopi Krishna Tirumanisetti, MD
Provider's NPPES record last updated: September 22, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1083920086
- Primary Specialty
- Family Medicine
- Practice Location
- Pine Bluff, Arkansas
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:52 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X Hospitalist
Allopathic & Osteopathic Physicians
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Taxonomy code 208M00000X
Provider-Reported License Information
- Family Medicine (Arkansas)
- E-13165
- Family Medicine (Louisiana)
- 206188
- Hospitalist (Louisiana)
- 206188
Practice Locations
Practice Location
1601 W 40th Ave
Pine Bluff, Arkansas 71603-6069
Phone: (870) 541-6000
Additional Practice Location
2408 Broadmoor Blvd
Suite 2
Monroe, Louisiana 71201-2963
Phone: (318) 807-0525
Fax: (318) 807-1077
Additional Practice Location
2408 Broadmoor Blvd
Suite 2
Monroe, Louisiana 71201-2963
Phone: (318) 807-0525
Fax: (318) 807-1077
Additional Practice Location
309 Jackson St
Monroe, Louisiana 71201-7407
Phone: (318) 966-4541
Fax: (318) 966-4543
Record Information
- Enumeration Date
- August 27, 2010
- Provider's NPPES Record Last Updated
- September 22, 2020
- Certification Date
- September 22, 2020
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue