Individual provider Active NPI

Pranav Reddy Santapuram, MD

  • Medical Oncology Physician
  • Clarksville, TN
National Provider Identifier
1649730011
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
72975 Issued in TN
Practice address
776 Weatherly Dr Ste a
Clarksville, TN 37043-8922
Phone
(931) 906-2004
Fax
(931) 906-2009
NPI assigned
Mar 21, 2019
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 72975 TN Primary

Addresses

Primary practice location

776 Weatherly Dr Ste a
Clarksville, TN 37043-8922

Mailing address

2004 Hayes St Ste 800
Nashville, TN 37203-2659
Phone (615) 329-0570

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
I20250912004144 TN Practitioner - Medical Oncology 3971006040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Vanderbilt University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

776 Weatherly Dr
Suite a
Clarksville, TN 37043-8941
Phone (931) 906-2004

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72975TNMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC Medical Oncology CurrentSince Jun 23, 2025 Accepting new patients

Locations

776 Weatherly Dr
Ste A
Clarksville, TN 37043
Phone (931) 906-2004

103 Natchez Park Dr
Ste 103
Dickson, TN 37055
Phone (615) 451-5481

2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1649730011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 800",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032659",
            "telephone_number": "615-329-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 WEATHERLY DR STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438922",
            "telephone_number": "931-906-2004",
            "fax_number": "931-906-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTAPURAM",
        "first_name": "PRANAV",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TN",
            "license": "72975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.