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PRAVEEN RAJANAHALLI MD
NPI 1497925572
General Practice in Greenwood, IN

Active since March 05, 2008PECOS Enrolled
701 E COUNTY LINE RD STE 210, GREENWOOD, IN 46143(317) 300-7424(317) 300-7976 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Praveen Rajanahalli Md NPPES

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

PRAVEEN RAJANAHALLI MD (NPI 1497925572) is an individual general practice provider in Greenwood, Indiana, licensed in Indiana (01067143A) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1497925572
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NamePRAVEEN RAJANAHALLICredential: MD
Location Address701 E COUNTY LINE RD STE 210Greenwood, IN 46143
Mailing Address701 E County Line Rd Ste 210Greenwood, IN 46143-1071 · (317) 300-7424 · Fax (317) 300-7976
Phone(317) 300-7424
Fax(317) 300-7976
Sole ProprietorNo
Enumeration DateMarch 5, 2008
Last NPPES UpdateApril 1, 2019
✔ NPI 1497925572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in IN · 01067143A✔ Licensed in IN · 11013162A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
701 E COUNTY LINE RD STE 210, Greenwood, IN 46143
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Secondary Practice Location 1

Location 18921 Southpointe Dr, Suite A-1Indianapolis, IN 46227-1084 · Phone (317) 884-7820 · Fax (317) 888-8851

Other Identifiers 1

Medicaid200961530IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Praveen Rajanahalli 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

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

INDIANA DIALYSIS COMPANY LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
701 E COUNTY LINE RD STE 210
GREENWOOD, IN 46143
Johnson County (317) 888-1100

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 Praveen Rajanahalli's NPI number?

The NPI number for Praveen Rajanahalli is 1497925572. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Praveen Rajanahalli located?

Praveen Rajanahalli practices at 701 E County Line Rd Ste 210, Greenwood, IN 46143. The listed phone number is (317) 300-7424.

What is Praveen Rajanahalli's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Praveen Rajanahalli enrolled in Medicare?

Yes. Praveen Rajanahalli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Praveen Rajanahalli was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.