PRAVEEN KUMAR P GIRI MD
NPI 1730155920
Psychiatry & Neurology - Neurology in Circleville, OH

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
600 N PICKAWAY ST, SUITE 5 NOECKER BUILDING, CIRCLEVILLE, OH 43113(740) 420-8097(740) 420-8098 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Praveen Kumar P Giri Md NPPES

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

PRAVEEN KUMAR P GIRI MD (NPI 1730155920) is an individual neurology provider in Circleville, Ohio, licensed in Ohio (35057540G) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Wyandot Memorial Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1730155920
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePRAVEEN KUMAR P GIRICredential: MD
Location Address600 N PICKAWAY ST, SUITE 5 NOECKER BUILDINGCircleville, OH 43113-2409
Mailing Address10731 Winchcombe DrDublin, OH 43016-9404 · (614) 339-4207
Fax(740) 420-8098
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730155920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in OH · 35057540G Licensed in KS · 35057540G Licensed in IL · 35057540G
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
600 N PICKAWAY ST, Circleville, OH 43113

Other Identifiers 3

Medicaid0731560OH
Medicare UPINC03408
Medicare ID-Type UnspecifiedGI0622086

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

Praveen Kumar P Giri Md 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 ID5698756039
PECOS Enrollment IDI20040601000345
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.

Hospital Affiliations CMS Care Compare

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

Wyandot Memorial Hospital

Critical Access Hospitals · Upper Sandusky, OH
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361329
Location885 North Sandusky AvenueUpper Sandusky, OH 43351 · Wyandot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43113 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Physician Assistant
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Family Medicine
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Emergency Medicine
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Specialist/Technologist (Athletic Trainer)
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Dietitian, Registered
600 N PICKAWAY ST, SUITE 300 3RD FLOOR MEDICAL OFFICE
CIRCLEVILLE, OH 43113
Internal Medicine (Nephrology)
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Emergency Medicine
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113
Emergency Medicine
600 N PICKAWAY ST
CIRCLEVILLE, OH 43113

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 Praveen Giri's NPI number?

The NPI number for Praveen Giri is 1730155920. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Praveen Giri located?

Praveen Giri practices at 600 N Pickaway St Suite 5 Noecker Building, Circleville, OH 43113. The listed phone number is (740) 420-8097.

What is Praveen Giri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Praveen Giri enrolled in Medicare?

Yes. Praveen Giri 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 Praveen Giri accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Praveen Giri 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 Praveen Giri affiliated with any hospitals?

According to CMS data, Praveen Giri is affiliated with Wyandot Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Praveen Giri was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.