Individual provider Active NPI

Praveen K Ponnamreddy, M.D.

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1295752160
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
45006 Issued in OK
Practice address
825 NE 10TH St # 2E
Oklahoma City, OK 73104-5417
Phone
(405) 271-7001
Fax
(405) 271-7034
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229636 MA
Internal Medicine Physician 207R00000X 45006 OK
Hypertension Specialist Physician 207RH0005X 229636 MA
Hospitalist Physician 208M00000X 229636 MA
Cardiovascular Disease Physician 207RC0000X 45006 OK Primary
Hospitalist Physician 208M00000X 16872 NH

Addresses

Primary practice location

825 NE 10TH St # 2E
Oklahoma City, OK 73104-5417

Mailing address

825 NE 10TH St # 2E
Oklahoma City, OK 73104-5417
Phone (405) 271-7001

Other practice location 1

One Medical Center Drive
Cardiology
Lebanon, NH 03756
Phone (603) 650-6247

Other practice location 2

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8000

Other identifiers 2

IdentifierTypeStateIssuer
3100323MedicaidNH
1027097MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, OK3 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

Enrollment IDStateProvider typePAC IDDetails
I20061102000133 MA Practitioner - Vascular SurgeryPractitioner - Internal Medicine 8426055575 Reassigns benefits to 1 organization
I20150316000106 NH Practitioner - Internal MedicinePractitioner - Hospitalist 8426055575 Reassigns benefits to 4 organizations
I20250812004606 OK Practitioner - Internal Medicine 8426055575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone (405) 271-4700

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Jun 9, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Jun 9, 2025 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jun 15, 2021 Accepting new patients
Alice Peck Day Memorial Hospital Internal Medicine Current Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine CurrentSince Jul 2, 2018 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Jun 15, 2021 Accepting new patients
Mary Hitchcock Memorial Hospital Internal Medicine CurrentSince Jul 2, 2018 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 2, 2018 Accepting new patients
Alice Peck Day Memorial Hospital Internal Medicine Current Accepting new patients
Lahey Clinic, Inc Internal Medicine Current Accepting new patients
Shaughnessy-Kaplan Rehabilitation Hospital Inc Past Accepting new patients
Spaulding Rehabilitation Hospital Corporation Past Accepting new patients
Ou Medicine Inc. Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

825 NE 10th St
#2E
Oklahoma City, OK 73104
Phone (405) 271-7001

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

825 NE 10th St
Ste 2E
Oklahoma City, OK 73104
Phone (405) 271-7001

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1295752160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST # 2E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-7001",
            "fax_number": "405-271-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST # 2E",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-7001",
            "fax_number": "405-271-7034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Medical Center Drive",
            "address_2": "Cardiology",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "03756",
            "country_code": "US",
            "telephone_number": "603-650-6247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018050001",
            "country_code": "US",
            "telephone_number": "781-744-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONNAMREDDY",
        "first_name": "PRAVEEN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "229636",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "45006",
            "primary": false
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": "MA",
            "license": "229636",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "229636",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "45006",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "16872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100323",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027097",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.