Individual provider Active NPI

Pranahitha Cherukupalli Reddy, MD

  • Psychiatry Physician
  • Murfreesboro, TN
National Provider Identifier
1649320953
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27654 Issued in TN
Practice address
1417 Markallenlane
Murfreesboro, TN 37130
Phone
(615) 406-7540
Fax
(615) 895-7543
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27654 TN Primary

Addresses

Primary practice location

1417 Markallenlane
Murfreesboro, TN 37130

Mailing address

2108 Londonderry Dr
Murfreesboro, TN 37129-1371
Phone (615) 406-7540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000719 TN Practitioner - Psychiatry 5193982098 Reassigns benefits to 1 organization
Practice locations: Murfreesboro, TN

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustpoint Hospital LLCGroup PAC ID 8325295280, 22 clinicians

Practice addresses (Care Compare)

1009 N Thompson LN
Murfreesboro, TN 37129-4351
Phone (615) 867-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27654TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustpoint Hospital LLC Psychiatry CurrentSince Apr 27, 2014 Accepting new patients
Trustpoint Hospital LLC CurrentSince Apr 27, 2014 Accepting new patients
Trustpoint Hospital, LLC Past Accepting new patients

Locations

1009 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 257-5601

Organizations & group practices 3

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649320953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LONDONDERRY DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291371",
            "telephone_number": "615-406-7540",
            "fax_number": "615-895-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 MARKALLENLANE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "615-406-7540",
            "fax_number": "615-895-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PRANAHITHA",
        "middle_name": "CHERUKUPALLI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "27654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.