DR. PRASAD VENKATA DEVABHAKTUNI M.D.
NPI 1417027103
Internal Medicine - Pulmonary Disease in Fairmont, WV

Q: What is Prasad Devabhaktuni's NPI number?

The NPI number for Prasad Devabhaktuni is 1417027103. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Q: What is Prasad Devabhaktuni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since November 09, 2006PECOS Enrolled

14 E GRAFTON RD, SUITE C, FAIRMONT, WV 26554(304) 363-7773(304) 363-7773 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Prasad Venkata Devabhaktuni M.d. NPPES

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

DR. PRASAD VENKATA DEVABHAKTUNI M.D. (NPI 1417027103) is an individual pulmonary disease provider in Fairmont, West Virginia, licensed in West Virginia (15587) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417027103

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PRASAD VENKATA DEVABHAKTUNICredential: M.D.

Location Address14 E GRAFTON RD, SUITE CFairmont, WV 26554-4465

Mailing Address14 E Grafton Rd, Suite CFairmont, WV 26554-4465 · (304) 363-7773 · Fax (304) 363-7773

Phone(304) 363-7773

Fax(304) 363-7773

Sole ProprietorYes

Enumeration DateNovember 9, 2006

Last NPPES UpdateSeptember 25, 2012

✔ NPI 1417027103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WV · 15587

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 15587 (WV)

14 E GRAFTON RD, Fairmont, WV 26554

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Other Identifiers 5

Medicare ID-Type UnspecifiedMA9262431WV · Grp Med Provider Number

Medicare UPIND49448WV

Medicare ID-Type UnspecifiedDE0621492WV · Ind Med Provider

Medicaid0071632000WV

Medicaid0009095000WV

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. Prasad Venkata Devabhaktuni 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 26554 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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 6

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

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers16 claims66 services$20.20 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers18 claims18 services$62.30 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers18 claims18 services$19.78 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers23 claims23 services$20.27 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

7 suppliers28 claims141 services$2.69 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

5 suppliers13 claims13 services$13.03 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.

JEANETTE POOL MSW, LGSW

Social Worker

14 E GRAFTON RD
FAIRMONT, WV 26554

Marion County (304) 366-5832

SLEEP NETWORK OF WEST VIRGINIA

Clinical Medical Laboratory

14 E GRAFTON RD, SUITE D
FAIRMONT, WV 26554

Marion County (304) 333-0227

LAMAR ALLEN

Case Manager/Care Coordinator

14 E GRAFTON RD
FAIRMONT, WV 26554

Marion County (304) 673-2839

LINDSAY ELLIOTT

Case Manager/Care Coordinator

14 E GRAFTON RD
FAIRMONT, WV 26554

Marion County (304) 366-5832

LENA ADKINS

Case Manager/Care Coordinator

14 E GRAFTON RD
FAIRMONT, WV 26554

Marion County (304) 502-3597

GARRETT FETTY

Physical Therapist

14 E GRAFTON RD
FAIRMONT, WV 26554

Marion County (304) 363-0050

KELLEY ROSE

Case Manager/Care Coordinator

14 E GRAFTON RD
FAIRMONT, WV 26554

Marion County (681) 315-7022

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 Prasad Devabhaktuni's NPI number?

The NPI number for Prasad Devabhaktuni is 1417027103. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Prasad Devabhaktuni located?

Prasad Devabhaktuni practices at 14 E Grafton Rd Suite C, Fairmont, WV 26554. The listed phone number is (304) 363-7773.

What is Prasad Devabhaktuni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Prasad Devabhaktuni enrolled in Medicare?

Yes. Prasad Devabhaktuni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prasad Devabhaktuni was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.