Dr Praveen Nandamuru, MD in Little Rock, AR

Dr Praveen Nandamuru, MD is a medicare enrolled "Pediatrics" physician in Little Rock, Arkansas. His current practice location is 1 Childrens Way # 512-17, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 364-1893.

Dr Praveen Nandamuru is licensed to practice in Arkansas (license number E-16579) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396242954.

Contact Information

	Dr Praveen Nandamuru, MD
	1 Childrens Way # 512-17, Little Rock, AR 72202-3500
	(501) 364-1893
	(501) 364-2865

Map and Direction

Physician's Profile

Full Name	Dr Praveen Nandamuru
Gender	Male
Speciality	Pediatrics
Location	1 Childrens Way # 512-17, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396242954
Provider Enumeration Date: 04/10/2018
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2668727470
Enrollment ID: I20220630000522

Medical Identifiers

Medical identifiers for Dr Praveen Nandamuru such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396242954	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2021022245 (Missouri)	Secondary
208000000X	Pediatrics	E-16579 (Arkansas)	Primary
207RS0012X	Internal Medicine - Sleep Medicine	E-16579 (Arkansas)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Praveen Nandamuru allows following entities to bill medicare on his behalf.

Entity Name	Mercy Hospitals East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Praveen Nandamuru is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Praveen Nandamuru, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100	Dr Praveen Nandamuru, MD 1 Childrens Way # 512-17, Little Rock, AR 72202-3500 Ph: (501) 364-1893

Reviews and Comments

Pediatrics Doctors in Little Rock, AR

Amber Michele Morse, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-16, Little Rock, AR 72202 Phone: 501-364-1050 Fax: 501-364-6931
Dustin Edward Williford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-8, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-2963
Kristyn N Jeffries, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418
Thanh Thanh Dai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-24a, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082
Indirapriya Darshini Avulakunta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418
Mohy Morris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Way # 512-17, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-3930
Ashley Wilcox Halpain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 904 Autumn Rd Ste 100, Little Rock, AR 72211 Phone: 501-224-5437

Dr Praveen Nandamuru, MD - Medicare Pediatrics in Little Rock, AR