Pradeep Kumar Velumula, MBBS

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

4301114957 Issued in MI

Practice address

3421 W 9TH St
Waterloo, IA 50702-5401

Phone

(319) 272-8203

Fax

(319) 272-8203

NPI assigned

Aug 19, 2015

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, MI, TX3 enrollments

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 3

Specialty

Pediatric Medicine

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pvelumula3937447@direct.trinity-health.org

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

• Covenant Medical Center Inc

  dba MercyOne Medical Group Northeast Iowa

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160
  Medicare reassignment NPD
• Lone Star Neonatology at North Texas, PLLC

  • Pediatric Critical Care Medicine Physician
  • Fort Worth, TX
  • NPI 1740088723
  Medicare reassignment NPD
• University Pediatricians

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1811920549
  Medicare reassignment NPD
• Covenant Medical Center, Inc.

  dba MercyOne Evansdale home medical equipment

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  NPD
• University Pediatricians

  • Pediatrics Physician
  • Detroit, MI
  • NPI 1184471690
  NPD
• Covenant Medical Center Inc

  dba MercyOne Waterloo Medical Center

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)
• Columbia Medical Center of McKinney Subsidiary LP

  dba Medical City McKinney

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1437102639
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1205202603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-8203",
            "fax_number": "319-272-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-8203",
            "fax_number": "319-272-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4370 Kissena Blvd",
            "address_2": "apt 17 N, flushing",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553769",
            "country_code": "US",
            "telephone_number": "718-670-5529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELUMULA",
        "first_name": "PRADEEP KUMAR",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IA",
            "license": "MD-48148",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301114957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Varzavand
• Taylor Vaske, LAT, ATC
• Jayachandra Babu Vavilathota, M.D
• Thomas Veiseth
• Kaci C Vela, D.D.S.
• Ramachandra Rao Vemulapalli, MD
• Wayne Leroy Ventling II, DO
• Veridian Fiscal Solutions LLC
• Veridian Fiscal Solutions LLC
• Amanda L. Vervaecke, A.R.N.P.

• Neonatal-Perinatal Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Neonatal-Perinatal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.