DR. PINNAMANENI RAMAKRISHNA PRASAD M.D.
NPI 1821099045
Internal Medicine - Nephrology in Allen Park, MI

Q: What is Pinnamaneni Prasad's NPI number?

The NPI number for Pinnamaneni Prasad is 1821099045. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Pinnamaneni R Prasad MD.

Q: What is Pinnamaneni Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment

16407 SOUTHFIELD RD, STE A, ALLEN PARK, MI 48101(313) 271-3000(313) 271-3003 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2019, Sep 24, 2018 (2 updates tracked since 2018).

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About Dr. Pinnamaneni Ramakrishna Prasad M.d. NPPES

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

DR. PINNAMANENI RAMAKRISHNA PRASAD M.D. (NPI 1821099045) is an individual nephrology provider in Allen Park, Michigan, licensed in Michigan (4301036210) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Allen Park, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1821099045

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. PINNAMANENI RAMAKRISHNA PRASADCredential: M.D.

Location Address16407 SOUTHFIELD RD, STE AAllen Park, MI 48101-2571

Mailing Address16407 Southfield Rd Ste AAllen Park, MI 48101-2571 · (313) 271-3000 · Fax (313) 271-3003

Phone(313) 271-3000

Fax(313) 271-3003

Sole ProprietorNo

Medical School CMSOtherGraduated 1972

Enumeration DateAugust 10, 2005

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1821099045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MI · 4301036210

Definition

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.

16407 SOUTHFIELD RD, Allen Park, MI 48101

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Other Names 1

Professional Name (2)Pinnamaneni R Prasad Md

Secondary Practice Location 1

Location 116507 Southfield RdAllen Park, MI 48101-2503 · Phone (313) 429-3212 · Fax (313) 429-3212

Other Identifiers 12

Other110Q26434MI · Bcbs

Medicaid18210990445MI

Medicaid4241568MI

Other120671MI · Care Choices

Other110179431C30371MI · Travelers Medicare

OtherC5579MI · M-care

Other118544MI · Great Lakes Health Plan

OtherG02484MI · Bluecare Network

Other3575MI · Cape Health Plan

Other4540391MI · Aetna

OtherP99362MI · Bluecare Network

Other204980MI · Federal Black Lung

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pinnamaneni Ramakrishna Prasad 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.

PECOS PAC ID6002724564

PECOS Enrollment IDI20070621000262

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.

Medicare Billing Reassignments

Medicare enrollment records show Pinnamaneni Prasad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology Hypertension Clinic, PC

Same address

Nephrology

16407 SOUTHFIELD RD STE A
Allen Park, MI 48101

Reassigned Medicare billing, Michigan enrollment
9 clinicians in this Medicare group

NPI 1053466094 (313) 271-3000

Downriver Vascular Associates Plc

0.1 mi

Vascular Surgery

16507 SOUTHFIELD RD
Allen Park, MI 48101

Reassigned Medicare billing, Michigan enrollment
3 clinicians in this Medicare group

NPI 1386108835 (313) 429-3211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

10,250 services122 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

172 services102 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

117 services68 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

60 services14 patients

Balloon dilation of dialysis segment with review by radiologist 36907

Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.

51 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services24 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

36 services28 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

32 services13 patients

Insertion of tube into chest or arm artery, each first order branch 36215

This procedure involves placing a thin tube into a chest or arm artery. It is done to monitor blood pressure, take blood samples, or deliver medications. The tube may also be inserted into each first order branch, which are the initial divisions of the main artery.

20 services16 patients

Replacement of tunneled central venous tube 36581

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

20 services17 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

20 services16 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905

This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.

17 services13 patients

Removal of tunneled central venous tube 36589

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

12 services12 patients

Mechanical removal of obstructive material from central venous tube 36595

This procedure involves clearing blockages from a central venous tube, a device inserted into your large veins for treatment. Obstructive material can hinder the tube's function, so medical professionals use specific techniques to remove this material and restore proper functioning.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48101 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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…

100%24 patients5/55-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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY MICHAEL GUTMAN DO

Internal Medicine (Nephrology)

16407 SOUTHFIELD RD
ALLEN PARK, MI 48101

Wayne County (313) 271-3000

NEPHROLOGY HYPERTENSION CLINIC PC

Internal Medicine (Nephrology)

16407 SOUTHFIELD RD
ALLEN PARK, MI 48101

Wayne County (313) 271-3000

GALAH DIALYSIS LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

16407 SOUTHFIELD RD, STE B
ALLEN PARK, MI 48101

Wayne County (313) 666-3518

DR. FADI MUSA ABUHMAID MD

Internal Medicine (Nephrology)

16407 SOUTHFIELD RD
ALLEN PARK, MI 48101

Wayne County (313) 271-3000

DR. SUDHEER R UMMADI MD

Internal Medicine (Nephrology)

16407 SOUTHFIELD RD
ALLEN PARK, MI 48101

Wayne County (313) 271-3000

DR. SYED SHAH ALI AKBAR MD

Internal Medicine (Nephrology)

16407 SOUTHFIELD RD
ALLEN PARK, MI 48101

Wayne County (313) 271-3000

KRISHNAPILLAI THAVARAJAH MD

Internal Medicine (Nephrology)

16407 SOUTHFIELD RD, STE A
ALLEN PARK, MI 48101

Wayne County (313) 271-3000

DR. PRAVEENA KONERU MD

Internal Medicine (Nephrology)

16407 SOUTHFIELD RD
ALLEN PARK, MI 48101

Wayne County (313) 271-3000

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 Pinnamaneni Prasad's NPI number?

The NPI number for Pinnamaneni Prasad is 1821099045. It was assigned to this individual provider in the NPPES registry on August 10, 2005. The provider is also known as Pinnamaneni R Prasad MD.

Where is Pinnamaneni Prasad located?

Pinnamaneni Prasad practices at 16407 Southfield Rd Ste A, Allen Park, MI 48101. The listed phone number is (313) 271-3000.

What is Pinnamaneni Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pinnamaneni Prasad enrolled in Medicare?

Yes. Pinnamaneni Prasad 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.

Which organizations bill Medicare for Pinnamaneni Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pinnamaneni Prasad reassigns Medicare benefits to 2 organizations: Nephrology Hypertension Clinic, PC (Allen Park, MI) and Downriver Vascular Associates Plc (Allen Park, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pinnamaneni Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pinnamaneni Prasad accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Pinnamaneni Prasad 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 Pinnamaneni Prasad was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.