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DR. PRAMOD KUMAR PONNA M.D.
NPI 1659807774
Internal Medicine in Pontiac, MI

Active since May 10, 2017PECOS EnrolledAccepts Medicare Assignment
44405 WOODWARD, H-23, ST. JOSEPH MERCY OAKLAND, PONTIAC, MI 48341(248) 858-6233(248) 858-3244 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Oct 18, 2022, Jan 8, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Pramod Kumar Ponna M.d. NPPES

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

DR. PRAMOD KUMAR PONNA M.D. (NPI 1659807774) is an individual internal medicine provider in Pontiac, Michigan, licensed in Virginia (0101276921) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1659807774
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRAMOD KUMAR PONNACredential: M.D.
Location Address44405 WOODWARD, H-23, ST. JOSEPH MERCY OAKLANDPontiac, MI 48341
Mailing Address44405 Woodward, H-23, St. Joseph Mercy OaklandPontiac, MI 48341 · (248) 858-6233 · Fax (248) 858-3244
Phone(248) 858-6233
Fax(248) 858-3244
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMay 10, 2017
Last NPPES UpdateOctober 18, 20224 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1659807774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101276921
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
44405 WOODWARD, H-23, Pontiac, MI 48341
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Secondary Practice Location 1

Location 144405 Woodward, H-23, St. Joseph Mercy OaklandPontiac, MI 48341 · Phone (248) 858-6233 · Fax (248) 858-3244

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Dr. Pramod Kumar Ponna M.d. 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 ID3971875139
PECOS Enrollment IDI20240913000558
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
332 services136 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
229 services129 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
133 services131 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
119 services119 patients

Hospital Affiliations CMS Care Compare

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$34.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pramod Kumar Ponna's NPI number?

The NPI number for Pramod Kumar Ponna is 1659807774. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Where is Pramod Kumar Ponna located?

Pramod Kumar Ponna practices at 44405 Woodward, H-23 St. Joseph Mercy Oakland, Pontiac, MI 48341. The listed phone number is (248) 858-6233.

What is Pramod Kumar Ponna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pramod Kumar Ponna enrolled in Medicare?

Yes. Pramod Kumar Ponna 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.

What insurance does Pramod Kumar Ponna accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Pramod Kumar Ponna 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.

Is Pramod Kumar Ponna affiliated with any hospitals?

According to CMS data, Pramod Kumar Ponna is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Pramod Kumar Ponna was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.