PRAVEEN K PONNAMREDDY M.D.
NPI 1295752160
Internal Medicine - Cardiovascular Disease in Oklahoma City, OK

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
86.78/100
CMS Quality Rating
825 NE 10TH ST # 2E, OKLAHOMA CITY, OK 73104(405) 271-7001(405) 271-7034 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2025, Sep 5, 2018 (2 updates tracked since 2018).

About Praveen K Ponnamreddy M.d. NPPES

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

PRAVEEN K PONNAMREDDY M.D. (NPI 1295752160) is an individual cardiovascular disease provider in Oklahoma City, Oklahoma, licensed in Oklahoma (45006) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295752160
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePRAVEEN K PONNAMREDDYCredential: M.D.
Location Address825 NE 10TH ST # 2EOklahoma City, OK 73104-5417
Mailing Address825 Ne 10th St # 2eOklahoma City, OK 73104-5417 · (405) 271-7001 · Fax (405) 271-7034
Fax(405) 271-7034
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1295752160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OK · 45006
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 229636 (MA), 45006 (OK)
Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X · License 229636 (MA)
Also ListedHospitalistTaxonomy 208M00000X · License 229636 (MA), 16872 (NH)
825 NE 10TH ST # 2E, Oklahoma City, OK 73104

Secondary Practice Locations 2

Location 1One Medical Center Drive, CardiologyLebanon, NH 03756 · Phone (603) 650-6247
Location 241 Mall RdBurlington, MA 01805-0001 · Phone (781) 744-8000

Other Identifiers 2

Medicaid3100323NH
Medicaid1027097VT

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

Praveen K Ponnamreddy M.d. 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 ID8426055575
PECOS Enrollment IDI20250812004606
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

5

Medicare enrollment records show Praveen Ponnamreddy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
Obstetrics & Gynecology
141 MASCOMA ST
Lebanon, NH 03766
  • Reassigned Medicare billing, New Hampshire enrollment
  • Also billed through NPI 1073569810 (New Hampshire)
  • 283 clinicians in this Medicare group
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
Internal Medicine
1 ESSEX CENTER DR
Peabody, MA 01960
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,841 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 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
145 services144 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services104 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
26 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.97
Promoting Interoperability100
Improvement Activities40

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.

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
3 suppliers54 claims61 services$115.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims31 services$36.99 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$30.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims15 services$38.02 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 7

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

Physician Assistant
825 NE 10TH ST # 2E
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Adult Health)
825 NE 10TH ST # 2E
OKLAHOMA CITY, OK 73104
Pharmacist (Ambulatory Care)
825 NE 10TH ST # 2E
OKLAHOMA CITY, OK 73104
Internal Medicine (Cardiovascular Disease)
825 NE 10TH ST # 2E
OKLAHOMA CITY, OK 73104
Physician Assistant
825 NE 10TH ST # 2E
OKLAHOMA CITY, OK 73104
Nurse Practitioner (Family)
825 NE 10TH ST # 2E
OKLAHOMA CITY, OK 73104
Internal Medicine (Clinical Cardiac Electrophysiology)
825 NE 10TH ST # 2E
OKLAHOMA CITY, OK 73104

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 Praveen Ponnamreddy's NPI number?

The NPI number for Praveen Ponnamreddy is 1295752160. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Praveen Ponnamreddy located?

Praveen Ponnamreddy practices at 825 NE 10th St # 2E, Oklahoma City, OK 73104. The listed phone number is (405) 271-7001.

What is Praveen Ponnamreddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Praveen Ponnamreddy enrolled in Medicare?

Yes. Praveen Ponnamreddy 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 Praveen Ponnamreddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Ponnamreddy reassigns Medicare benefits to 5 organizations: Ou Health Partners, Inc (Oklahoma City, OK), Dartmouth-Hitchcock Clinic (Keene, NH), Alice Peck Day Memorial Hospital (Lebanon, NH), Mary Hitchcock Memorial Hospital (Lebanon, NH) and Lahey Clinic, Inc (Peabody, MA). 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 Praveen Ponnamreddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Praveen Ponnamreddy accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Praveen Ponnamreddy 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 Praveen Ponnamreddy affiliated with any hospitals?

According to CMS data, Praveen Ponnamreddy is affiliated with Lahey Hospital & Medical Center, Burlington, Ssm Health St Anthony Hospital - Oklahoma City and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Praveen Ponnamreddy was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.