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JAYA PRAVEEN KUMAR PENAGALURI
NPI 1124258645
Psychiatry & Neurology - Psychiatry in Spokane, WA

Active since July 17, 2009PECOS Enrolled
105 W 8TH AVE STE 450E, SPOKANE, WA 99204(509) 474-6920(509) 474-3014 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Sep 2, 2022, Jun 23, 2021 and 2 more (5 updates tracked since 2016).

About Jaya Praveen Kumar Penagaluri NPPES

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

JAYA PRAVEEN KUMAR PENAGALURI (NPI 1124258645) is an individual psychiatry provider in Spokane, Washington, licensed in Idaho (M13830) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124258645
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJAYA PRAVEEN KUMAR PENAGALURI
Location Address105 W 8TH AVE STE 450ESpokane, WA 99204-2302
Mailing Address105 W 8th Ave Ste 450eSpokane, WA 99204-2302 · (509) 474-6920
Phone(509) 474-6920
Fax(509) 474-3014
Sole ProprietorYes
Enumeration DateJuly 17, 2009
Last NPPES UpdateJanuary 21, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1124258645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in ID · M13830
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
105 W 8TH AVE STE 450E, Spokane, WA 99204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaya Praveen Kumar Penagaluri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 4

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

A. WILLARD EMCH JR. M.D.
Psychiatry & Neurology (Psychiatry)
105 W 8TH AVE STE 450E
SPOKANE, WA 99204
Spokane County (509) 474-6920
MICHELLE DIANE ELDER MSW
Counselor (Mental Health)
105 W 8TH AVE STE 450E
SPOKANE, WA 99204
Spokane County (509) 747-6920
NOREEN EDWARDS LCSW
Social Worker (Clinical)
105 W 8TH AVE STE 450E
SPOKANE, WA 99204
Spokane County (509) 474-6920
ERIC TIMOTHY LAVY MD
Psychiatry & Neurology (Psychiatry)
105 W 8TH AVE STE 450E
SPOKANE, WA 99204
Spokane County (509) 474-6920

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 Jaya Praveen Penagaluri's NPI number?

The NPI number for Jaya Praveen Penagaluri is 1124258645. It was assigned to this individual provider in the NPPES registry on July 17, 2009.

Where is Jaya Praveen Penagaluri located?

Jaya Praveen Penagaluri practices at 105 W 8th Ave Ste 450E, Spokane, WA 99204. The listed phone number is (509) 474-6920.

What is Jaya Praveen Penagaluri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jaya Praveen Penagaluri enrolled in Medicare?

Yes. Jaya Praveen Penagaluri is registered in the Medicare PECOS enrollment system.

What insurance does Jaya Praveen Penagaluri accept?

Health plans from HMO Louisiana and Providence Health Plan list Jaya Praveen Penagaluri 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.

When was this NPI record last updated?

The NPPES record for Jaya Praveen Penagaluri was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.