Praveen Natakal Pakeerappa, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

S0516 Issued in TX

Practice address

1055 Clarksville St Ste 165
Paris, TX 75460-0211

Phone

(903) 401-5145

Fax

(903) 401-5145

NPI assigned

Jun 3, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, NV, 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

Physical Medicine and Rehabilitation

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Spine and Pain MD PLLCGroup PAC ID 6103289483, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Texas Spine & Pain MD PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Paris, TX
  • NPI 1699468546
  Medicare reassignment Care Compare group NPD Authorized official
• St Mary'S Physician Services LLC

  • General Practice Physician
  • Russellville, AR
  • NPI 1124084991
  Medicare reassignment NPD
• Tri-State Medical Specialists LLC

  • Pain Medicine Physician
  • Fort Mohave, AZ
  • NPI 1649598426

  NV

  Medicare reassignment
• St Marys Physician Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Russellville, AR
  • NPI 1063626117
  NPD
• Essent PRMC LP

  • Rehabilitation Hospital Unit
  • Paris, TX
  • NPI 1710986385
  NPD (past)
• St Marys Physician Services, LLC

  • Interventional Cardiology Physician
  • Russellville, AR
  • NPI 1720356207
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Essent PRMC LP

  • General Acute Care Hospital
  • Paris, TX
  • NPI 1063411767
  Care Compare affiliation

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1457645830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754180429",
            "telephone_number": "859-825-8504",
            "fax_number": "972-767-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 CLARKSVILLE ST STE 165",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754600211",
            "telephone_number": "903-401-5145",
            "fax_number": "903-401-5145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St # Hq101",
            "address_2": "Kentucky and Affiliates",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360001",
            "country_code": "US",
            "telephone_number": "859-257-1363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Clarksville St Ste 165",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754600211",
            "country_code": "US",
            "telephone_number": "903-401-5145",
            "fax_number": "512-401-5146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Harrison St Ste T",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017315",
            "country_code": "US",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7436 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852079338",
            "country_code": "US",
            "telephone_number": "480-325-9600",
            "fax_number": "480-493-5336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1808 W Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012724",
            "country_code": "US",
            "telephone_number": "479-968-2841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "865 DeShong Dr Ste 321",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754609313",
            "country_code": "US",
            "telephone_number": "903-737-1320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Clarksville St Ste 165",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754600211",
            "country_code": "US",
            "telephone_number": "903-401-5082",
            "fax_number": "903-401-5126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATAKAL PAKEERAPPA",
        "first_name": "PRAVEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2024-03-08",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "S0516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "941244488",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• My Home Sitting Services
• Vishal Mynampally
• Sreejith Namputhiri, MD
• Tabitha Nance
• Sai Jahnu Sree Reddy Narla, M.D.
• Kati Nation
• National Home Care Management
• Deborah Corley Nations, LPC-S
• Nec Paris Emergency Center, LP
• Jarrett K Nelms, PT

• Physical Medicine & Rehabilitation Physician in Paris, TX
• Providers in Paris, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.