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DR. PRAVEENA KONERU MD
NPI 1689696106
Internal Medicine - Nephrology in Allen Park, MI

Active since July 24, 2006PECOS Enrolled
16407 SOUTHFIELD RD, ALLEN PARK, MI 48101(313) 271-3000(313) 271-3003 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Praveena Koneru Md NPPES

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

DR. PRAVEENA KONERU MD (NPI 1689696106) is an individual nephrology provider in Allen Park, Michigan, licensed in Michigan (4301076287) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689696106
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PRAVEENA KONERUCredential: MD
Location Address16407 SOUTHFIELD RDAllen Park, MI 48101
Mailing AddressPo Box 77000 Dept 771255 Dept 771255Detroit, MI 48277-1255 · (313) 271-3000 · Fax (313) 271-3003
Phone(313) 271-3000
Fax(313) 271-3003
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJanuary 30, 2019
✔ NPI 1689696106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301076287
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
16407 SOUTHFIELD RD, Allen Park, MI 48101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 114752 Northline RdSouthgate, MI 48195-2698 · Phone (734) 285-5030 · Fax (734) 285-8223
Location 216407 Southfield RdAllen Park, MI 48101 · Phone (313) 271-3000 · Fax (313) 271-3003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Praveena Koneru 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.

Medicare Billing Reassignment

Medicare enrollment records show Praveena Koneru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Hypertension Clinic, PC
Same address
Nephrology
16407 SOUTHFIELD RD STE A
Allen Park, MI 48101
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1053466094 (313) 271-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48101 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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%146 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

DR. JEFFREY MICHAEL GUTMAN DO
Internal Medicine (Nephrology)
16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 271-3000
NEPHROLOGY HYPERTENSION CLINIC PC
Internal Medicine (Nephrology)
16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 271-3000
GALAH DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
16407 SOUTHFIELD RD, STE B
ALLEN PARK, MI 48101
Wayne County (313) 666-3518
DR. FADI MUSA ABUHMAID MD
Internal Medicine (Nephrology)
16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 271-3000
DR. SUDHEER R UMMADI MD
Internal Medicine (Nephrology)
16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 271-3000
DR. SYED SHAH ALI AKBAR MD
Internal Medicine (Nephrology)
16407 SOUTHFIELD RD
ALLEN PARK, MI 48101
Wayne County (313) 271-3000
KRISHNAPILLAI THAVARAJAH MD
Internal Medicine (Nephrology)
16407 SOUTHFIELD RD, STE A
ALLEN PARK, MI 48101
Wayne County (313) 271-3000
DR. PINNAMANENI RAMAKRISHNA PRASAD M.D.
Internal Medicine (Nephrology)
16407 SOUTHFIELD RD, STE A
ALLEN PARK, MI 48101
Wayne County (313) 271-3000

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 Praveena Koneru's NPI number?

The NPI number for Praveena Koneru is 1689696106. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Praveena Koneru located?

Praveena Koneru practices at 16407 Southfield Rd, Allen Park, MI 48101. The listed phone number is (313) 271-3000.

What is Praveena Koneru's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Praveena Koneru enrolled in Medicare?

Yes. Praveena Koneru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Praveena Koneru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Praveena Koneru reassigns Medicare benefits to Nephrology Hypertension Clinic, PC (Allen Park, MI). The 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 Praveena Koneru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Praveena Koneru was last updated on January 30, 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.