DR. PRAVEEN NANDAMURU MD
NPI 1396242954
Pediatrics in Little Rock, AR

Q: What is Praveen Nandamuru's NPI number?

The NPI number for Praveen Nandamuru is 1396242954. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Q: What is Praveen Nandamuru's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Praveen Nandamuru was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 10, 2018PECOS Enrolled

1 CHILDRENS WAY # 512-17, LITTLE ROCK, AR 72202(501) 364-1893(501) 364-2865 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2023, Mar 1, 2022, Apr 10, 2018 (3 updates tracked since 2018).

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About Dr. Praveen Nandamuru Md NPPES

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

DR. PRAVEEN NANDAMURU MD (NPI 1396242954) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Arkansas (E-16579) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396242954

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. PRAVEEN NANDAMURUCredential: MD

Location Address1 CHILDRENS WAY # 512-17Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-1893

Fax(501) 364-2865

Sole ProprietorNo

Enumeration DateApril 10, 2018

Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1396242954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AR · E-16579✔ Licensed in MO · 2021022245

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License E-16579 (AR)

1 CHILDRENS WAY # 512-17, Little Rock, AR 72202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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. Praveen Nandamuru 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 14

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

MOHY MORRIS MD

Pediatrics (Pediatric Pulmonology)