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PRABA BOOMINATHAN MD
NPI 1629456074
Anesthesiology - Pain Medicine in Philadelphia, PA

Active since May 18, 2015PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE STREET, PHILADELPHIA, PA 19104(215) 349-8310(215) 893-7270 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2021, May 20, 2020 (2 updates tracked since 2020).

About Praba Boominathan Md NPPES

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

PRABA BOOMINATHAN MD (NPI 1629456074) is an individual pain medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD468544) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Rutgers School Of Dental Medicine (2015).

NPPES Registry Identity

NPI1629456074
Entity TypeIndividualFemale
Primary Taxonomy207LP2900X
Provider Legal NamePRABA BOOMINATHANCredential: MD
Location Address3400 SPRUCE STREETPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce StreetPhiladelphia, PA 19104-4206 · (215) 349-8310 · Fax (215) 893-7270
Phone(215) 349-8310
Fax(215) 893-7270
Sole ProprietorYes
Medical School CMSRutgers School Of Dental MedicineGraduated 2015
Enumeration DateMay 18, 2015
Last NPPES UpdateJune 21, 20222 updates tracked since enumeration
NPPES CertifiedJune 21, 2022
✔ NPI 1629456074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in PA · MD468544
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

3400 SPRUCE STREET, Philadelphia, PA 19104
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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 and accepts Medicare assignment

Praba Boominathan 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 ID7719290600
PECOS Enrollment IDI20200527000088
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services55 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
30 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services19 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
22 services19 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

DINESH H JAGASIA MD
Internal Medicine (Cardiovascular Disease)
3400 SPRUCE STREET, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2246
MELANIE A FREAS CRNP
Nurse Practitioner (Acute Care)
3400 SPRUCE STREET, 6 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2050
DR. TIMOTHY R DILLINGHAM MD
Physical Medicine & Rehabilitation
3400 SPRUCE STREET, 1 GROUND WHITE BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3261
BARRY R SMOGER MD
Nuclear Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
CRAIG ALFRED UMSCHEID MD
Internal Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4000
KEITH VAN ARSDALEN MD
Urology
3400 SPRUCE STREET, 9 PENN TOWER
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2891
ELIZABETH M DATNER MD
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6963
CHARLES M VOLLMER JR. MD
Surgery
3400 SPRUCE STREET, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-2626

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 Praba Boominathan's NPI number?

The NPI number for Praba Boominathan is 1629456074. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Praba Boominathan located?

Praba Boominathan practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (215) 349-8310.

What is Praba Boominathan's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Praba Boominathan enrolled in Medicare?

Yes. Praba Boominathan 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.

Is Praba Boominathan affiliated with any hospitals?

According to CMS data, Praba Boominathan is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Praba Boominathan was last updated on June 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.