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PRABH ROOHAN PANNU MD
NPI 1467156430
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 27, 2023PECOS Enrolled
330 BROOKLINE AVE, BOSTON, MA 02215(617) 632-9236 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prabh Roohan Pannu Md NPPES

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

PRABH ROOHAN PANNU MD (NPI 1467156430) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467156430
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRABH ROOHAN PANNUCredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215-5491
Mailing Address330 Brookline AveBoston, MA 02215-5491 · (617) 632-9236
Phone(617) 632-9236
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1467156430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

330 BROOKLINE AVE, Boston, MA 02215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prabh Roohan Pannu 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.

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.

BETH ISRAEL DEACONESS MEDICAL CENTER
Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 677-4042
DR. BRIAN DANIEL HOBBS MD, MMSC
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Suffolk County (617) 667-5864
ERICA DOMMASCH MD
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Suffolk County (617) 667-3753
VAHID KIARAD M.D
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. JONATHAN DAVID THOMAS MD
Internal Medicine (Hematology)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
JULIA MARIE BERG MD
Internal Medicine
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000
DR. MICHAEL R GOLDSTEIN PHD
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 356-7246
SARA MURDOCK CAHILL MD
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Suffolk County (617) 667-7000

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 Prabh Pannu's NPI number?

The NPI number for Prabh Pannu is 1467156430. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Prabh Pannu located?

Prabh Pannu practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-9236.

What is Prabh Pannu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Prabh Pannu enrolled in Medicare?

Yes. Prabh Pannu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prabh Pannu was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.