Individual provider Active NPI

Pragna Koleti

  • Internal Medicine Physician
  • Norristown, PA
National Provider Identifier
1114555828
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.147455 Issued in OH
Practice address
2701 Dekalb Pike
Norristown, PA 19401-1820
Phone
(610) 278-2003
NPI assigned
Mar 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.147455 OH Primary

Addresses

Primary practice location

2701 Dekalb Pike
Norristown, PA 19401-1820

Mailing address

2701 Dekalb Pike
Norristown, PA 19401-1820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20231010001420 OH Practitioner - Internal Medicine 5698185957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Richland County, LTDGroup PAC ID 4284538430, 54 clinicians

Practice addresses (Care Compare)

1320 Mercy Dr NW
Canton, OH 44708-2614
Phone (330) 489-1000

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Aug 28, 2023 Accepting new patients
Cleveland Clinic Mercy Hospital Past Accepting new patients

Locations

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1114555828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194011820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194011820",
            "telephone_number": "610-278-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLETI",
        "first_name": "PRAGNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.147455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.