PINNAMANENI PRASAD MD NPI 1730199829

NPI Information

  • NPI: 1730199829
  • Provider Name: PINNAMANENI PRASAD, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 2901 OLD JACKSONVILLE RD
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (217) 698-9722

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Transitional care management services for problem of high complexity (HCPCS:99496)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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