Individual provider Active NPI

Prasanna K. Marpu, MD

  • Hospitalist Physician
  • Oklahoma City, OK
National Provider Identifier
1407176159
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
T4424 Issued in TX
Practice address
921 NE 13TH St
Oklahoma City, OK 73104-5007
Phone
(405) 456-1000
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T4424 TX
Hospitalist Physician 208M00000X 01069153A IN
Hospitalist Physician 208M00000X T4424 TX Primary

Addresses

Primary practice location

921 NE 13TH St
Oklahoma City, OK 73104-5007

Mailing address

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4937

Other identifiers 2

IdentifierTypeStateIssuer
P01270911OtherINRR MEDICARE
201021800MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmarpu69817@eCommunityDirect.com Community Physicians of Indiana Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110805000318 IN Practitioner - Internal Medicine 4486823556 Reassigns benefits to 1 organization
I20221215001963 TX Practitioner - Internal Medicine 4486823556 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T4424TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince May 22, 2018 Accepting new patients
Curana Health Medical Group LLC Internal Medicine CurrentSince Oct 4, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince May 22, 2018 Accepting new patients
CH Specialty Services TX PLLC Internal Medicine CurrentSince Oct 4, 2023 Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients
Chambers County Public Hospital District No. 1 Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

3510 S Lafountain St
Kokomo, IN 46902
Phone (765) 864-5760

3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • Direct secure messaging: pmarpu69817@ecommunitydirect.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coral Rehabilitation and Nursing of AustinAustin, TX, CCN 455862 Skilled nursing facility Contracted Managing Employee
Adp of the SNF
Jun 1, 2024
Nov 26, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1407176159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 NE 13TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045007",
            "telephone_number": "405-456-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARPU",
        "first_name": "PRASANNA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T4424",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01069153A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "T4424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01270911",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201021800",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmarpu69817@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "3500 S Lafountain St",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479023803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.