Active NPI
Mohandas Praturi, MD
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1144283607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101238721
- Practice address
- 5500 E Kellogg Dr
Team 5
Wichita, KS 67218-1607 - Phone
- (646) 306-1861
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101238721 | VA | Primary |
Addresses
Primary practice location
5500 E Kellogg Dr
Team 5
Wichita, KS 67218-1607
Mailing address
5500 E Kellogg Dr
Team 5
Wichita, KS 67218-1607
Phone (646) 306-1861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238386-1 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305504000000",
"number": "1144283607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"address_2": "TEAM 5",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607",
"telephone_number": "646-306-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 E KELLOGG DR",
"address_2": "TEAM 5",
"city": "WICHITA",
"state": "KS",
"postal_code": "672181607",
"telephone_number": "646-306-1861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATURI",
"first_name": "MOHANDAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2011-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101238721",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "238386-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.