Individual provider Active NPI

Dhamavarapu Pramila, MD

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1497788442
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
119606 Issued in NY
Practice address
240 Willoughby St
Suite 11E
Brooklyn, NY 11201-5465
Phone
(718) 250-8866
Fax
(718) 250-6703
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 119606 NY Primary

Addresses

Primary practice location

240 Willoughby St
Suite 11E
Brooklyn, NY 11201-5465

Mailing address

30 Puritan Ave
Forest Hills, NY 11375-6029
Phone (718) 263-7970

Other identifiers 1

IdentifierTypeStateIssuer
00224511MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TJH Medical Services, P.C. Past Accepting new patients
CMC Occupational Health Services, PC Specialist Past Accepting new patients
Rehabilitation Medicine Associates, P.C. Specialist Past Accepting new patients
Chennareddy MD PC PastSince May 28, 1975 Accepting new patients

Organizations & group practices 4

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1497788442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PURITAN AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756029",
            "telephone_number": "718-263-7970",
            "fax_number": "718-250-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 11E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-250-8866",
            "fax_number": "718-250-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAMILA",
        "first_name": "DHAMAVARAPU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "119606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00224511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.