DR. PRANATHI KONDAPANENI M.D.
NPI 1922022193
Psychiatry & Neurology - Sleep Medicine in Suwanee, GA

Q: What is Pranathi Kondapaneni's NPI number?

The NPI number for Pranathi Kondapaneni is 1922022193. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Q: What is Pranathi Kondapaneni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

4245 JOHNS CREEK PKWY STE A, SUWANEE, GA 30024(678) 990-3962(678) 840-3777 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Jun 14, 2018 (2 updates tracked since 2018).

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About Dr. Pranathi Kondapaneni M.d. NPPES

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

DR. PRANATHI KONDAPANENI M.D. (NPI 1922022193) is an individual sleep medicine provider in Suwanee, Georgia, licensed in Georgia (59447) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2001).

NPPES Registry Identity

NPI1922022193

Entity TypeIndividualFemale

Primary Taxonomy2084S0012X

Provider Legal NameDR. PRANATHI KONDAPANENICredential: M.D.

Location Address4245 JOHNS CREEK PKWY STE ASuwanee, GA 30024-9122

Mailing Address100 Kimball Pl Ste 100Alpharetta, GA 30009-2614 · (678) 990-3962 · Fax (678) 840-3777

Phone(678) 990-3962

Fax(678) 840-3777

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2001

Enumeration DateJuly 27, 2006

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1922022193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2084S0012X

License✔ Licensed in GA · 59447

Definition

A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 4301077824 (MI)

4245 JOHNS CREEK PKWY STE A, Suwanee, GA 30024

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Pranathi Kondapaneni 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 ID8628117629

PECOS Enrollment IDI20210902000473

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

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.

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 5

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers14 claims14 services$28.89 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers13 claims71 services$13.91 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers14 claims14 services$43.20 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers11 claims11 services$12.77 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

8 suppliers20 claims111 services$1.42 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 6

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

MRS. SHUBH AYENGAR M.D.

Family Medicine (Sleep Medicine)