DR. PRAVESH P DEOTALE M.D
NPI 1710275110
Psychiatry & Neurology - Child & Adolescent Psychiatry in Festus, MO
About Dr. Pravesh P Deotale M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRAVESH P DEOTALE M.D (NPI 1710275110) is an individual child & adolescent psychiatry provider in Festus, Missouri, licensed in Missouri (2015036367) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Pravesh P Deotale 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FESTUS, MO 63028
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 Pravesh Deotale's NPI number?
The NPI number for Pravesh Deotale is 1710275110. It was assigned to this individual provider in the NPPES registry on July 19, 2011.
Where is Pravesh Deotale located?
Pravesh Deotale practices at 1420 Us Highway 61, Festus, MO 63028. The listed phone number is (636) 543-2230.
What is Pravesh Deotale's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Pravesh Deotale enrolled in Medicare?
Yes. Pravesh Deotale 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 Pravesh Deotale accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 8 other insurers list Pravesh Deotale 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 Pravesh Deotale was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Dr. Pravesh P Deotale, M.D · NPI 1710275110
Child & Adolescent Psychiatry physician in Festus, Missouri. Individual provider, active in the CMS NPPES registry since July 19, 2011.
## Identity
- **NPI:** 1710275110 (Entity type: Individual)
- **Enumerated:** July 19, 2011
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 2015036367 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1420 US HIGHWAY 61, Festus, MO 63028-4108
- **Phone:** (636) 543-2230
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** April 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710275110) · Data from the CMS NPPES public registry.