Active NPI
Praveen K Ponnamreddy, M.D.
- Cardiovascular Disease Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 45006
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3100323 | Medicaid | NH | |
| 1027097 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
- Lahey Hospital & Medical Center, Burlington
- SSM Health St Anthony Hospital - Oklahoma City
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| Alice Peck Day Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Dartmouth-Hitchcock Clinic | Internal Medicine | Current | Accepting new patients |
| Alice Peck Day Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Mary Hitchcock Memorial Hospital | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Critical Access Hospital
- Lebanon, NH
- NPI 1003803495
Internal Medicine
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
Internal Medicine
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Family Medicine Physician
- Lebanon, NH
- NPI 1073569810
Internal Medicine
-
- Urgent Care Clinic/Center
- Lebanon, NH
- NPI 1942002274
-
- Podiatrist
- Lebanon, NH
- NPI 1942691829
-
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1366545311
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.