Individual provider Active NPI

Pranav Garlapati, MBBS

  • Neonatal-Perinatal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1003269937
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
39002 Issued in OK
Practice address
1414 E 39TH St Apt 256
Tulsa, OK 74105-3419
Phone
(850) 376-4584
NPI assigned
Jul 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 39002 OK Primary

Addresses

Primary practice location

1414 E 39TH St Apt 256
Tulsa, OK 74105-3419

Mailing address

1414 E 39TH St Apt 256
Tulsa, OK 74105-3419
Phone (850) 376-4584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104001769 AL Practitioner - Pediatric Medicine 2264883248 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39002OKMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

Interoperability endpoints

  • Direct secure messaging: pgarlapati575976@ahs.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1003269937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E 39TH ST APT 256",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053419",
            "telephone_number": "850-376-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E 39TH ST APT 256",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053419",
            "telephone_number": "850-376-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAPATI",
        "first_name": "PRANAV",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OK",
            "license": "39002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.