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

NPI Status: Active since July 24, 2006

Contact Information

16407 SOUTHFIELD RD
ALLEN PARK, MI
ZIP 48101
Phone: (313) 271-3000
Fax: (313) 271-3003

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
Quality Reporting
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Internal Medicine
Nephrology
Accepts Insurance
PECOS Enrolled
Medicare Quality Reporting

About PRAVEENA KONERU

This page provides the complete NPI Profile along with additional information for Praveena Koneru, an internist established in Allen Park, Michigan with a medical specialization in Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1689696106 assigned on July 2006. The practitioner's primary taxonomy code is 207RN0300X with license number 4301076287 (MI). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI: 1689696106
Provider Name: DR. PRAVEENA KONERU MD
Gender: Female
Entity Type: Individual
Location Address: 16407 SOUTHFIELD RD ALLEN PARK, MI 48101
Location Phone: (313) 271-3000
Location Fax: (313) 271-3003
Mailing Address: PO BOX 77000 DEPT 771255 DEPT 771255 DETROIT, MI 48277
Mailing Phone: (313) 271-3000
Mailing Fax: (313) 271-3003
Is Sole Proprietor?: No
Enumeration Date: 07-24-2006
Last Update Date: 01-30-2019
Code Navigator

An internist like Praveena Koneru is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

14752 Northline Rd
Southgate, MI 48195
(734) 285-5030
16407 Southfield Rd
Allen Park, MI 48101
(313) 271-3000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine Nephrology
Taxonomy Code: 207RN0300X
Type: Allopathic & Osteopathic Physicians
License No.: 4301076287
License State: MI
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Molina Healthcare

Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 with First 4 Primary Care Visits Free - HMO
Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Praveena Koneru is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48101 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $134.28
Minimum New Patient Price $58.04
Maximum New Patient Price $177.36

Average New Patient Copayment $33.57
Minimum New Patient Copayment $14.51
Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $102.35
Minimum Established Patient Price $18.32
Maximum Established Patient Price $143.49

Average Established Patient Copayment $25.58
Minimum Established Patient Copayment $4.58
Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	100%	146
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	8	9	6	9	6	1	0	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	16	9	12	9	12	1	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 9 + 1 + 2 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1689696106 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.