Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Sep 3, 2026, Aug 7, 2025 and 4 more (7 updates tracked since 2020).

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 Michigan (EMC0010190) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609494384
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NamePRAVEEN KUMAR BODDUCredential: MD
Location Address2401 W UNIVERSITY AVEMuncie, IN 47303-3428
Mailing Address1215 E Michigan AveLansing, MI 48912-1811
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 9, 2020
Last NPPES UpdateSeptember 18, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1609494384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in MI · EMC0010190✔ 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.
2401 W UNIVERSITY AVE, Muncie, IN 47303

Secondary Practice Locations 2

Location 11215 E Michigan AveLansing, MI 48912-1811 · Phone (517) 364-1000
Location 23901 Beaubien St Ste 3T72Detroit, MI 48201-2119 · Phone (313) 745-7496

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Praveen Kumar Boddu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
2401 W UNIVERSITY AVE
Muncie, IN 47303
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Indiana University Health Ball Memorial Physicians Inc
  • 635 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Radiology (Diagnostic Radiology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Family Medicine
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Nurse Practitioner (Acute Care)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Physician Assistant (Medical)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Occupational Therapist
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Pathology (Clinical Pathology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303

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 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.

Where is Praveen Kumar Boddu located?

Praveen Kumar Boddu practices at 2401 W University Ave, Muncie, IN 47303. The listed phone number is (765) 751-2650.

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.

Is Praveen Kumar Boddu enrolled in Medicare?

Yes. Praveen Kumar Boddu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Praveen Kumar Boddu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveen Kumar Boddu reassigns Medicare benefits to 3 organizations: Health Care Connections, Inc. (Muncie, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Praveen Kumar Boddu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Praveen Kumar Boddu accept?

Health plans from CareSource and Cigna Healthcare list Praveen Kumar Boddu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Praveen Kumar Boddu was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.