Dr Preeti PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DR PREETI PC

Practice address

165 Nighthawk LN
Roseburg, OR 97471-7844

Phone

(563) 508-2083

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Preeti Satyanarayana, MDNPI 1063641744

Title

Director

Phone

(563) 508-2083

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preeti Satyanarayana, MD

  • Hospitalist Physician
  • Roseburg, OR
  • NPI 1063641744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1598540593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 NIGHTHAWK LN",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974717844",
            "telephone_number": "563-508-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NIGHTHAWK LN",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974717844",
            "telephone_number": "563-508-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PREETI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "SATYANARAYANA",
        "authorized_official_first_name": "PREETI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "563-508-2083",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.