| Praveen Kumar Boddu, MD | |
|
2401 W University Ave, Muncie, IN 47303-3428 | |
| (765) 751-2650 | |
| Not Available |
| Full Name | Praveen Kumar Boddu |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 12 Years |
| Location | 2401 W University Ave, Muncie, Indiana |
| 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 |
|---|---|---|---|
| 1609494384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | EMC0010190 (Michigan) | Primary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01094599A (Indiana) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Riley Specialists Llc | 9638669815 | 285 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Iu Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Entity Name | Iu Health Medical Group Riley Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699561480 PECOS PAC ID: 9638669815 Enrollment ID: O20251106001468 |
| Mailing Address | Practice Location Address |
|---|---|
| Praveen Kumar Boddu, MD 1215 E Michigan Ave, Lansing, MI 48912-1811 Ph: Not Available | Praveen Kumar Boddu, MD 2401 W University Ave, Muncie, IN 47303-3428 Ph: (765) 751-2650 |
Barbara P Huss, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Suite 201, Muncie, IN 47304 Phone: 765-289-2353 |
Dr. Anne J Eliades, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2525 W University Ave, Suite 404, Muncie, IN 47303 Phone: 765-289-2616 Fax: 765-741-3934 |
Craig A Hughes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Suite 201, Muncie, IN 47304 Phone: 765-289-2353 |
Emmanuel Melonakos, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-291-5437 |
Dr. Lucille E Kanjer-larson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-291-5437 Fax: 765-284-5387 |
James R Byrn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1995 Fax: 765-281-9114 |
Gary A Palicka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 205 N Tillotson Ave, Muncie, IN 47304 Phone: 765-288-1995 |