DR. PRATHIMA PABBATHI M.D
NPI 1740486349
Family Medicine in Lansing, MI

Q: What is Prathima Pabbathi's NPI number?

The NPI number for Prathima Pabbathi is 1740486349. It was assigned to this individual provider in the NPPES registry on June 21, 2007. The provider is also known as Dr. Prathima Nallabantu M.D.

Q: What is Prathima Pabbathi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Prathima Pabbathi was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 21, 2007PECOS Enrolled

1540 LAKE LANSING RD, SUITE 201, LANSING, MI 48912(517) 913-3900(517) 913-3901 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Prathima Pabbathi M.d NPPES

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

DR. PRATHIMA PABBATHI M.D (NPI 1740486349) is an individual family medicine provider in Lansing, Michigan, licensed in Michigan (4301089892) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740486349

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PRATHIMA PABBATHICredential: M.D

Location Address1540 LAKE LANSING RD, SUITE 201Lansing, MI 48912-3756

Mailing Address1540 Lake Lansing Rd, Suite 201Lansing, MI 48912-3756 · (517) 913-3900 · Fax (517) 913-3901

Phone(517) 913-3900

Fax(517) 913-3901

Sole ProprietorNo

Enumeration DateJune 21, 2007

Last NPPES UpdateMarch 22, 2011

✔ NPI 1740486349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301089892

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1540 LAKE LANSING RD, Lansing, MI 48912

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Other Names 1

Former Name (1)Dr. Prathima Nallabantu M.d

Other Identifiers 10

Other1065666MI · Mclaren Health Plan-medicaid

Other1065666MI · Mclaren Health Advantage

OtherP00893152MI · Railroad Medicare

Other200000025762MI · Php- Commercial

Medicare PINM21440078MI

Other0803304652MI · Blue Cross Blue Shield Of Michigan/blue Care Network

Other0M21440078MI · Medicare Plus Blue

Other1065666MI · Mclaren Health Plan-commercial

Other200000025762MI · Php- Familycare

Other9402523MI · Aetna

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. Prathima Pabbathi 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

101 services67 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

91 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

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…

68%204 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers21 claims68 services$6.18 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier22 claims22 services$20.10 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier22 claims22 services$7.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ROBERT J WOLF MD

Radiology (Diagnostic Radiology)

1540 LAKE LANSING RD, SUITE 107
LANSING, MI 48912

Ingham County (517) 913-3800

DR. HARRY JAMES MCCOY M.D.

Internal Medicine

1540 LAKE LANSING RD, STE 201
LANSING, MI 48912

Ingham County (517) 913-3900

JILL MARIE-BURTON KNOX PA

Physician Assistant

1540 LAKE LANSING RD, SUITE G02
LANSING, MI 48912

Ingham County (517) 913-6650

DR. CYNTHIA S. BOYNTON M.D.

Internal Medicine

1540 LAKE LANSING RD, STE 201
LANSING, MI 48912

Ingham County (517) 913-3900

MID-MICHIGAN PODIATRY, PC

Podiatrist (Foot & Ankle Surgery)

1540 LAKE LANSING RD, SUITE 102
LANSING, MI 48912

Ingham County (517) 913-3855

IRENE T BAKER NP

Nurse Practitioner

1540 LAKE LANSING RD, SUITE 205
LANSING, MI 48912

Ingham County (517) 913-3910

EDWARD W SPARROW HOSPITAL ASSOCIATION

Obstetrics & Gynecology

1540 LAKE LANSING RD, SUITE 205
LANSING, MI 48912

Ingham County (517) 913-3910

DR. CHAD MICHAEL GERRISH D.O.

Internal Medicine

1540 LAKE LANSING RD, SUITE 102
LANSING, MI 48912

Ingham County (517) 913-3810

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 Prathima Pabbathi's NPI number?

The NPI number for Prathima Pabbathi is 1740486349. It was assigned to this individual provider in the NPPES registry on June 21, 2007. The provider is also known as Dr. Prathima Nallabantu M.D.

Where is Prathima Pabbathi located?

Prathima Pabbathi practices at 1540 Lake Lansing Rd Suite 201, Lansing, MI 48912. The listed phone number is (517) 913-3900.

What is Prathima Pabbathi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prathima Pabbathi enrolled in Medicare?

Yes. Prathima Pabbathi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prathima Pabbathi was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.