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PINNAMANENI PRASAD MD NPI 1730199829


NPI Information

NPI: 1730199829
Provider Name: PINNAMANENI PRASAD, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 698-9722
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Pinnamaneni Prasad, MD is an internal medicine in Springfield, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Pinnamaneni Prasad, MD NPI is 1730199829. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2901 OLD JACKSONVILLE RD
SPRINGFIELD, IL
ZIP 62704-437
Phone: (217) 698-9722
Fax: (217) 391-0392

The NPI 1730199829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 1/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine036049086ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020057300OTHERILLINOISBLACK LUNG
2036049086OTHERILLINOISIL STATE LICENSE
308421024OTHERILLINOISBC/BS
4110140986OTHERILLINOISRR MEDICARE PIN
5053701OTHERILLINOISHEALTH ALLIANCE
614D0949277OTHERILLINOISCLIA
7036049086MEDICAIDILLINOIS
8CD7143OTHERILLINOISRR MEDICARE GROUP#
9133586700OTHERILLINOISACS-OWCP
10170775OTHERILLINOISPERSONAL CARE
116394POTHERILLINOISCATERPILLAR
12102120OTHERILLINOISHEALTHLINK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.