1. Home
  2. Directory
  3. Alabama
  4. Dothan
  5. Internal Medicine
  6. NPI Profile

DR. GANJUR H GURU-PRAKASH M.D.
NPI 1386730059
Internal Medicine - Nephrology in Dothan, AL

Active since October 04, 2006PECOS Enrolled
207 HAVEN DR, DOTHAN, AL 36301(334) 793-3319(334) 793-2291 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ganjur H Guru-prakash M.d. NPPES

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

DR. GANJUR H GURU-PRAKASH M.D. (NPI 1386730059) is an individual nephrology provider in Dothan, Alabama, licensed in Alabama (11357) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386730059
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. GANJUR H GURU-PRAKASHCredential: M.D.
Location Address207 HAVEN DRDothan, AL 36301-2919
Mailing Address207 Haven DrDothan, AL 36301-2919 · (334) 793-3319 · Fax (334) 793-2291
Phone(334) 793-3319
Fax(334) 793-2291
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 24, 2011
✔ NPI 1386730059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in AL · 11357
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
207 HAVEN DR, Dothan, AL 36301
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC76943AL
Medicaid000089193AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ganjur H Guru-prakash M.d. 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 36301 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 19

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

DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES
Specialist
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
ELIZABETH ANN MCFARLAND CRNP
Nurse Practitioner (Family)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
MRS. JENNIFER SMITH KIRK CRNP
Nurse Practitioner (Family)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
MRS. STEFANIE L. KINCEY CRNP
Nurse Practitioner
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
NIKKI ILONA BROUSSARD CRNP
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (337) 793-3319
DR. VENKAT R NIMMAGADDA M.D.
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
RAVINDRANATH V. KANTAMNENI M.D.
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319
DR. NOWOGHOMWENMA CHARLES IBIE MD
Internal Medicine (Nephrology)
207 HAVEN DR
DOTHAN, AL 36301
Houston County (334) 793-3319

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 Ganjur Guru-prakash's NPI number?

The NPI number for Ganjur Guru-prakash is 1386730059. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Ganjur Guru-prakash located?

Ganjur Guru-prakash practices at 207 Haven Dr, Dothan, AL 36301. The listed phone number is (334) 793-3319.

What is Ganjur Guru-prakash's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ganjur Guru-prakash enrolled in Medicare?

Yes. Ganjur Guru-prakash is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ganjur Guru-prakash was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.