| Pravardhan Rajashekar Birthi, MD | |
|
403 Lexington Cir, Grand Island, NE 68803-9728 | |
| (308) 675-3222 | |
| (308) 675-3234 |
| Full Name | Pravardhan Rajashekar Birthi |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 27 Years |
| Location | 403 Lexington Cir, Grand Island, Nebraska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013161082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 27075 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brodstone Memorial Hosp | Superior, NE | Hospital |
| Howard County Medical Center | St paul, NE | Hospital |
| Thayer County Health Services | Hebron, NE | Hospital |
| Kearney County Health Services Hospital | Minden, NE | Hospital |
| Chi Health St. Francis | Grand island, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Howard County Medical Center | 5698775849 | 20 |
| Grand Island Pain Relief Center Pc | 7416282868 | 4 |
| Entity Name | Kearney Co Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205977873 PECOS PAC ID: 8820900780 Enrollment ID: O20040223001142 |
| Entity Name | Brodstone Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073590626 PECOS PAC ID: 4082513015 Enrollment ID: O20040423000949 |
| Entity Name | Thayer County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326029984 PECOS PAC ID: 3577559145 Enrollment ID: O20041008000652 |
| Entity Name | Kearney Co Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477585958 PECOS PAC ID: 8820900780 Enrollment ID: O20061104000252 |
| Entity Name | Thayer County Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326029984 PECOS PAC ID: 3577559145 Enrollment ID: O20061104000293 |
| Entity Name | Brodstone Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1306842604 PECOS PAC ID: 4082513015 Enrollment ID: O20061215000097 |
| Entity Name | Howard County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154626216 PECOS PAC ID: 5698775849 Enrollment ID: O20110614000460 |
| Entity Name | Grand Island Pain Relief Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346709383 PECOS PAC ID: 7416282868 Enrollment ID: O20190708002731 |
| Mailing Address | Practice Location Address |
|---|---|
| Pravardhan Rajashekar Birthi, MD 403 Lexington Cir, Grand Island, NE 68803-9728 Ph: (308) 675-3222 | Pravardhan Rajashekar Birthi, MD 403 Lexington Cir, Grand Island, NE 68803-9728 Ph: (308) 675-3222 |