DR. PREETHAM GRANDHI M.D.
NPI 1720093149
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lakeland, FL

Q: What is Preetham Grandhi's NPI number?

The NPI number for Preetham Grandhi is 1720093149. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Q: What is Preetham Grandhi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Preetham Grandhi was last updated on March 7, 2023. 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.

Active since July 31, 2006PECOS Enrolled

1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 687-1222(863) 603-6546 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 7, 2023, Aug 4, 2022, Jan 5, 2021 and 3 more (6 updates tracked since 2016).

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About Dr. Preetham Grandhi M.d. NPPES

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

DR. PREETHAM GRANDHI M.D. (NPI 1720093149) is an individual child & adolescent psychiatry provider in Lakeland, Florida, licensed in Florida (ME137963) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720093149

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. PREETHAM GRANDHICredential: M.D.

Location Address1324 LAKELAND HILLS BLVDLakeland, FL 33805-4543

Mailing Address28564 Picana LnWesley Chapel, FL 33543-6659 · (914) 262-2170

Phone(863) 687-1222

Fax(863) 603-6546

Sole ProprietorYes

Enumeration DateJuly 31, 2006

Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1720093149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in FL · ME137963✔ Licensed in CT · 37805✔ Licensed in NY · 214467

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 214467 (NY), ME137963 (FL), 37805 (CT)

1324 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Other Identifiers 3

OtherME137963FL · License

Other214467NY · License

Other37805CT · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Preetham Grandhi M.d. 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.

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.

CHRISTIAN ABREU-RAMIREZ MD

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