Individual provider Active NPI

Prabhjot S Pannu, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1447295399
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01054614A Issued in IN
Practice address
1481 W 10TH St
Indianapolis, IN 46202-2803
Phone
(317) 554-0181
Fax
(317) 554-0105
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01054614A IN Primary

Addresses

Primary practice location

1481 W 10TH St
Indianapolis, IN 46202-2803

Mailing address

6628 Hollingsworth Dr
Indianapolis, IN 46268-5007
Phone (317) 347-9912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MD, KY, GA, RI, DC, DE, AR, KS, IL, WV, VA, WA, WI, OK, MI, NE, TN18 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 18

Enrollment IDStateProvider typePAC IDDetails
I20230321000296 IN Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240416003689 MD Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240430004195 KY Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240502002782 GA Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240503003459 RI Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240507003364 DC Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240507003978 DE Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240509003078 AR Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240513003166 KS Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240528003397 IL Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240530002513 WV Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240530002821 VA Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240604000901 WA Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240605001207 WI Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240625003827 OK Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240626004124 MI Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240626004408 NE Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization
I20240814001528 TN Practitioner - Internal Medicine 8729229265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivisit Doc IncGroup PAC ID 8820476070, 2 clinicians

Practice addresses (Care Compare)

1010 E Main St
Suite 104
Waynesboro, VA 22980-5855
Phone (317) 759-4008

111 N Wabash Ave
Suite 100
Chicago, IL 60602-1903
Phone (317) 759-4008

11750 W 135TH St
Suite 1318
Overland Park, KS 66221-9395
Phone (317) 759-4008

1405 Earl Core Rd
PMB 1109
Morgantown, WV 26505
Phone (317) 759-4008

1530 N Harrison St
Suite 1063
Shawnee, OK 74804-4021
Phone (317) 759-4008

160 Old Tower Hill Rd
Suite 1022
Wakefield, RI 02879-3742
Phone (317) 759-4008

1935 S Hurstbourne Pkwy
Suite 1107
Louisville, KY 40220-1645
Phone (317) 759-4008

23131 Michigan Ave
Suite 1251
Dearborn, MI 48124-2020
Phone (317) 759-4008

2502 Mount Moriah Rd
Suite H231
Memphis, TN 38115-1515
Phone (317) 759-4008

2631 Housley Rd
Suite 1120
Annapolis, MD 21401-7030
Phone (317) 759-4008

2803 Philadelphia Pike
Suite 4306
Claymont, DE 19703-2506
Phone (317) 759-4008

2910 E Harding Ave
Suite 1057
Pine Bluff, AR 71601-6853
Phone (317) 759-4008

31 Pine Grove Rd
Suite 1035
Locust Grove, GA 30248-2561
Phone (317) 759-4008

3213 W Wheeler St
Suite 1019
Seattle, WA 98199-3245
Phone (317) 759-4008

4315 50TH St NW
Suite 100
Washington, DC 20016-4369
Phone (317) 759-4008

6311 Ames Ave
Suite 1230
Omaha, NE 68104-2027
Phone (317) 759-4008

7345 Woodland Dr
Suite 1
Indianapolis, IN 46278-1737
Phone (317) 759-4008

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01054614AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ivisit Doc Inc Internal Medicine CurrentSince Feb 14, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2910 E Harding Ave
Pine Bluff, AR 71601
Phone (870) 487-1707

4315 50th St NW
Ste 100
Washington, DC 20016
Phone (240) 277-4427

2803 Philadelphia Pike
Claymont, DE 19703
Phone (302) 212-0048

31 Pine Grove Rd
Locust Grove, GA 30248
Phone (404) 477-4327

111 N Wabash Ave
Ste 100
Chicago, IL 60602
Phone (312) 219-1597

7345 Woodland Dr
Ste 1
Indianapolis, IN 46278
Phone (317) 762-4025

7345 Woodland Dr
Indianapolis, IN 46278
Phone (317) 286-2885

11750 W 135th St
Overland Park, KS 66221
Phone (913) 280-6193

1935 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 608-9858

2631 Housley Rd
#1120
Annapolis, MD 21401

23131 Michigan Ave
Dearborn, MI 48124
Phone (313) 355-4635

6311 Ames Ave
Omaha, NE 68104
Phone (402) 953-4240

1530 N Harrison St
Shawnee, OK 74804
Phone (515) 996-7002

160 Old Tower Hill Rd
#1022
Wakefield, RI 02879

2502 Mount Moriah Rd
Ste H231
Memphis, TN 38115
Phone (901) 215-8494

1010 E Main St
Ste 104
Waynesboro, VA 22980

3213 W Wheeler St
Seattle, WA 98199

10721 W Capitol Dr
Ste 105
Wauwatosa, WI 53222

1405 Earl L Core Rd
Morgantown, WV 26505
Phone (216) 223-8083

Organizations & group practices 2

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447295399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6628 HOLLINGSWORTH DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462685007",
            "telephone_number": "317-347-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 W 10TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462022803",
            "telephone_number": "317-554-0181",
            "fax_number": "317-554-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNU",
        "first_name": "PRABHJOT",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01054614A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.