PRAVEEN KUMAR BODDU MD
NPI 1609494384
Pediatrics - Neonatal-Perinatal Medicine in Muncie, IN

Q: What is Praveen Kumar Boddu's NPI number?

The NPI number for Praveen Kumar Boddu is 1609494384. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Q: What is Praveen Kumar Boddu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment

2401 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 751-2650 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, May 5, 2025, May 9, 2023 and 2 more (5 updates tracked since 2020).

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About Praveen Kumar Boddu Md NPPES

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

PRAVEEN KUMAR BODDU MD (NPI 1609494384) is an individual neonatal-perinatal medicine provider in Muncie, Indiana, licensed in Indiana (01094599A) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609494384

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NamePRAVEEN KUMAR BODDUCredential: MD

Location Address2401 W UNIVERSITY AVEMuncie, IN 47303-3428

Mailing Address2401 W University AveMuncie, IN 47303-3428

Phone(765) 751-2650

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 9, 2020

Last NPPES UpdateAugust 7, 20255 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1609494384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IN · 01094599A

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2401 W UNIVERSITY AVE, Muncie, IN 47303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Praveen Kumar Boddu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991112419

PECOS Enrollment IDI20250512001213

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.

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