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PRATHAPRAJU POLOJU
NPI 1902258171
Internal Medicine in Flint, MI

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment
401 S BALLENGER HWY, FLINT, MI 48532(810) 342-2000(810) 342-1591 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2019, Jul 12, 2016 (2 updates tracked since 2016).

About Prathapraju Poloju NPPES

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

PRATHAPRAJU POLOJU (NPI 1902258171) is an individual internal medicine provider in Flint, Michigan, licensed in Louisiana (320940) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902258171
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRATHAPRAJU POLOJU
Location Address401 S BALLENGER HWYFlint, MI 48532-3638
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-2000 · Fax (810) 342-1591
Phone(810) 342-2000
Fax(810) 342-1591
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 12, 2016
Last NPPES UpdateDecember 30, 20192 updates tracked since enumeration
✔ NPI 1902258171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 320940
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301110700 (MI)
401 S BALLENGER HWY, Flint, MI 48532
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.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

Prathapraju Poloju 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 ID7214220318
PECOS Enrollment IDI20191118002657
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
365 services166 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.
194 services104 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
148 services142 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
100 services100 patients

Hospital Affiliations CMS Care Compare

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48532 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$18.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$96.44 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.

MR. DUNYUE LU M.D.
Psychiatry & Neurology (Psychiatry)
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-4419
REBECCA S MOODY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
PONGCHAYUT SURAPIPITH MD
Surgery
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-1000
NICOLE ELISE WESLEY CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917
MARY ELLEN RINKS P.T.
Physical Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2362
MCLAREN FLINT
Hospitalist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
CATHERINE TALLEY
Occupational Therapist
401 S BALLENGER HWY
FLINT, MI 48532
Genesee County (810) 342-2000
BRENT ALLEN SCOTT CRNA
Nurse Anesthetist, Certified Registered
401 S BALLENGER HWY, ATTN SURGICAL SERVICES
FLINT, MI 48532
Genesee County (810) 342-4917

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 Prathapraju Poloju's NPI number?

The NPI number for Prathapraju Poloju is 1902258171. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Prathapraju Poloju located?

Prathapraju Poloju practices at 401 S Ballenger Hwy, Flint, MI 48532. The listed phone number is (810) 342-2000.

What is Prathapraju Poloju's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prathapraju Poloju enrolled in Medicare?

Yes. Prathapraju Poloju 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 Prathapraju Poloju accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Prathapraju Poloju 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 Prathapraju Poloju affiliated with any hospitals?

According to CMS data, Prathapraju Poloju is affiliated with Christus St Frances Cabrini Hospital.

When was this NPI record last updated?

The NPPES record for Prathapraju Poloju was last updated on December 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.