PRASUNA MUPPA M.B.B.S
NPI 1073977690
Pathology - Anatomic Pathology & Clinical Pathology in Sioux Falls, SD

Active since April 09, 2016PECOS EnrolledAccepts Medicare Assignment
1301 S CLIFF AVE STE 700, SIOUX FALLS, SD 57105(605) 322-7200(605) 322-7222 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2021, Aug 7, 2020, Jul 16, 2018 and 2 more (5 updates tracked since 2016).

About Prasuna Muppa M.b.b.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRASUNA MUPPA M.B.B.S (NPI 1073977690) is an individual anatomic pathology & clinical pathology provider in Sioux Falls, South Dakota, licensed in South Dakota (12661) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1073977690
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NamePRASUNA MUPPACredential: M.B.B.S
Location Address1301 S CLIFF AVE STE 700Sioux Falls, SD 57105-1019
Mailing AddressPo Box 5050Sioux Falls, SD 57117-5050 · (605) 322-7200 · Fax (605) 322-7222
Fax(605) 322-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 9, 2016
Last NPPES UpdateSeptember 2, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
NPI 1073977690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in SD · 12661 Licensed in MN · 64160
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 27510 (MN)
1301 S CLIFF AVE STE 700, Sioux Falls, SD 57105

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905 · Phone (507) 284-2511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Prasuna Muppa M.b.b.s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517250780
PECOS Enrollment IDI20210603002758
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,870 services893 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
424 services138 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
336 services128 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
270 services147 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
241 services212 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
177 services99 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431340
Location525 N FosterMitchell, SD 57301 · Davison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE STE 700
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE STE 700
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE STE 700
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE STE 700
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE STE 700
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE STE 700
SIOUX FALLS, SD 57105
Pathology (Anatomic Pathology & Clinical Pathology)
1301 S CLIFF AVE STE 700
SIOUX FALLS, SD 57105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prasuna Muppa's NPI number?

The NPI number for Prasuna Muppa is 1073977690. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Where is Prasuna Muppa located?

Prasuna Muppa practices at 1301 S Cliff Ave Ste 700, Sioux Falls, SD 57105. The listed phone number is (605) 322-7200.

What is Prasuna Muppa's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Prasuna Muppa enrolled in Medicare?

Yes. Prasuna Muppa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prasuna Muppa accept?

Health plans from Avera Health Plans and Medica list Prasuna Muppa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prasuna Muppa affiliated with any hospitals?

According to CMS data, Prasuna Muppa is affiliated with Spencer Municipal Hospital, Lakes Regional Healthcare, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center and Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Prasuna Muppa was last updated on September 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.