DR. PRASUNA GNANA DUBAGUNTA M.D.
NPI 1376573014
Internal Medicine in Glencoe, MN

Q: What is Prasuna Dubagunta's NPI number?

The NPI number for Prasuna Dubagunta is 1376573014. It was assigned to this individual provider in the NPPES registry on July 4, 2006. The provider is also known as Dr. Prasuna G Brahmamdam M.D..

Q: What is Prasuna Dubagunta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Prasuna Dubagunta was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment

1805 HENNEPIN AVE N, GLENCOE, MN 55336(320) 864-3121(320) 864-7887 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2020, Oct 15, 2018, Aug 14, 2018 and 2 more (5 updates tracked since 2015).

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About Dr. Prasuna Gnana Dubagunta M.d. NPPES

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

DR. PRASUNA GNANA DUBAGUNTA M.D. (NPI 1376573014) is an individual internal medicine provider in Glencoe, Minnesota, licensed in Minnesota (64422) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2004).

NPPES Registry Identity

NPI1376573014

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. PRASUNA GNANA DUBAGUNTACredential: M.D.

Location Address1805 HENNEPIN AVE NGlencoe, MN 55336-1416

Mailing Address1805 Hennepin Ave NGlencoe, MN 55336-1416 · (320) 864-3121

Phone(320) 864-3121

Fax(320) 864-7887

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2004

Enumeration DateJuly 4, 2006

Last NPPES UpdateNovember 24, 20205 updates tracked since enumeration

NPPES CertifiedNovember 24, 2020

✔ NPI 1376573014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MN · 64422✔ Licensed in TX · N1617✔ Licensed in GA · 055401

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1805 HENNEPIN AVE N, Glencoe, MN 55336

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Other Names 1

Former Name (1)Dr. Prasuna G Brahmamdam M.d.

Other Identifiers 2

Other8CF471TX · Bcbs

Medicaid208812201TX

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

Dr. Prasuna Gnana Dubagunta 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 ID7618930017

PECOS Enrollment IDI20181030000731

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

Medicare enrollment records show Prasuna Dubagunta reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care

27 mi

Pediatrics

111 HUNDERTMARK RD STE 210
Chaska, MN 55318

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1043991904 (952) 401-8300

Fairview Clinics

36 mi

Primary Care

830 PRAIRIE CENTER DR
Eden Prairie, MN 55344

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1336331297 (952) 826-6500

Fairview Health Services

41 mi

General Acute Care Hospital

6401 FRANCE AVE S
Edina, MN 55435

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1699752915 (952) 924-5000

Healtheast Medical Research Institute

50 mi

Internal Medicine

1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104

Reassigned Medicare billing, Minnesota enrollment
2,361 clinicians in this Medicare group

NPI 1508191552 (651) 232-2273

Healtheast St. John's Hospital

50 mi

Anesthesiology

1700 UNIVERSITY AVE W
Saint Paul, MN 55104

Reassigned Medicare billing, Minnesota enrollment
1,178 clinicians in this Medicare group

NPI 1558240853 (855) 324-7843

Healtheast Woodwinds Hospital

59 mi

General Acute Care Hospital

1925 WOODWINDS DR
Woodbury, MN 55125

Reassigned Medicare billing, Minnesota enrollment
955 clinicians in this Medicare group

NPI 1356309322 (651) 232-0100

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 11

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.

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.

120 services93 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

59 services55 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

37 services36 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

36 services35 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

35 services35 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.

30 services28 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240078

Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55336 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers22 claims29 services$5.45 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.

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