PRANUTHI RATNA DASARI MD
NPI 1235967472
Student in an Organized Health Care Education/Training Program in Springfield, IL

Q: What is Pranuthi Ratna Dasari's NPI number?

The NPI number for Pranuthi Ratna Dasari is 1235967472. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Q: What is Pranuthi Ratna Dasari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 22, 2024PECOS Enrolled

520 N 4TH ST, SPRINGFIELD, IL 62702(217) 220-7073 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pranuthi Ratna Dasari Md NPPES

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

PRANUTHI RATNA DASARI MD (NPI 1235967472) is an individual student in an organized health care education/training program in Springfield, Illinois and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235967472

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePRANUTHI RATNA DASARICredential: MD

Location Address520 N 4TH STSpringfield, IL 62702-5238

Mailing Address2650 Cooper Ave Apt 308Springfield, IL 62704-1178 · (217) 220-7073

Phone(217) 220-7073

Sole ProprietorYes

Enumeration DateJuly 22, 2024

NPPES CertifiedJuly 21, 2024

✔ NPI 1235967472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

520 N 4TH ST, Springfield, IL 62702

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pranuthi Ratna Dasari Md 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.

Other Providers at the Same Location NPPES 20

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

MRS. AMANDA B HENSON LCSW

Social Worker (Clinical)