Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRATHIK KOLLURU MD
NPI 1245612175
Hospitalist in Great Falls, MT

Active since June 27, 2015PECOS EnrolledAccepts Medicare Assignment
1101 26TH ST S, GREAT FALLS, MT 59405(406) 455-5000(406) 731-8318 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Sep 23, 2024, Oct 18, 2022 and 2 more (5 updates tracked since 2018).

About Prathik Kolluru Md NPPES

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

PRATHIK KOLLURU MD (NPI 1245612175) is an individual hospitalist provider in Great Falls, Montana, licensed in Montana (176106) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1245612175
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRATHIK KOLLURUCredential: MD
Location Address1101 26TH ST SGreat Falls, MT 59405-5161
Mailing AddressPo Box 6010Great Falls, MT 59406-6010 · (406) 455-5000 · Fax (573) 815-8040
Fax(406) 731-8318
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 27, 2015
Last NPPES UpdateOctober 14, 20265 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1245612175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MT · 176106✔ Licensed in MO · 2024010147
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2024010147 (MO)
1101 26TH ST S, Great Falls, MT 59405

Secondary Practice Location 1

Location 11600 E BroadwayColumbia, MO 65201-5844 · Phone (573) 815-8000 · Fax (573) 815-8040

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prathik Kolluru Md 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 ID2163771395
PECOS Enrollment IDI20240927002512
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Prathik Kolluru reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1600 E BROADWAY
Columbia, MO 65201
  • Reassigned Medicare billing, Missouri enrollment
  • 302 clinicians in this Medicare group
Diagnostic Radiology
25753 OLD FREDERICKSBURG
Boerne, TX 78015
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
Internal Medicine
1920 ROSEMONT AVE
Frederick, MD 21702
  • Reassigned Medicare billing, Maryland enrollment
  • 270 clinicians in this Medicare group
Internal Medicine
106 BOW ST
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland enrollment
  • 104 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
243 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
42 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

Northeast Regional Medical Center

Acute Care Hospitals · Kirksville, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260022
Location315 S OsteopathyKirksville, MO 63501 · Adair County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO
OwnershipGovernment - Local
CMS Certification Number261313
Location1205 North Missouri StMacon, MO 63552 · Macon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$14.35 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers22 claims22 services$844.64 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$11.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$75.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Hospitalist
1101 26TH ST S
GREAT FALLS, MT 59405
Internal Medicine (Clinical Cardiac Electrophysiology)
1101 26TH ST S
GREAT FALLS, MT 59405
Occupational Therapy Assistant
1101 26TH ST S
GREAT FALLS, MT 59405
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405
Occupational Therapist
1101 26TH ST S
GREAT FALLS, MT 59405
Neurological Surgery
1101 26TH ST S
GREAT FALLS, MT 59405
Nurse Practitioner (Family)
1101 26TH ST S
GREAT FALLS, MT 59405
Pharmacist
1101 26TH ST S
GREAT FALLS, MT 59405

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 Prathik Kolluru's NPI number?

The NPI number for Prathik Kolluru is 1245612175. It was assigned to this individual provider in the NPPES registry on June 27, 2015.

Where is Prathik Kolluru located?

Prathik Kolluru practices at 1101 26th St S, Great Falls, MT 59405. The listed phone number is (406) 455-5000.

What is Prathik Kolluru's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prathik Kolluru enrolled in Medicare?

Yes. Prathik Kolluru 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.

Which organizations bill Medicare for Prathik Kolluru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prathik Kolluru reassigns Medicare benefits to 4 organizations: Boone Physician Services, LLC (Columbia, MO), University Of Texas Health Science Center At San Antonio (Boerne, TX), Hospitalist Medicine Physicians Of Maryland PC (Frederick, MD) and Usacs Integrated Acute Care Services Of Maryland, LLC (Elkton, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prathik Kolluru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prathik Kolluru accept?

Health plans from Imperial Insurance Companies, Inc. list Prathik Kolluru 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 Prathik Kolluru affiliated with any hospitals?

According to CMS data, Prathik Kolluru is affiliated with Bothwell Regional Health Center, Northeast Regional Medical Center, Boone Hospital Center, University Of Missouri Health Care and Macon County Samaritan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Prathik Kolluru was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.