Prathyusha Pamidi Larson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS20091 Issued in FL

Practice address

1910 Hillbrooke TRL Ste 2
Tallahassee, FL 32311-7914

Phone

(850) 878-2637

Fax

(850) 878-2053

NPI assigned

Mar 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Alabama College of Osteopathic Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Regional Healthcare LLCGroup PAC ID 4486724846, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: prathyusha.larson@hca5.eclinicaldirectplus.com

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.

• Capital Regional Healthcare LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Tallahassee, FL
  • NPI 1417127499
  Medicare reassignment Care Compare group NPD
• Capital Regional Healthcare

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1518968551

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1700414596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 HILLBROOKE TRL STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117914",
            "telephone_number": "850-878-2637",
            "fax_number": "850-878-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 HILLBROOKE TRL STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323117914",
            "telephone_number": "850-878-2637",
            "fax_number": "850-878-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032868",
            "country_code": "US",
            "telephone_number": "828-257-4730",
            "fax_number": "828-232-2942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "PRATHYUSHA",
        "middle_name": "PAMIDI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS20091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa L Lapp, MS
• Courtney Larkin
• Isabella Mia Larosa
• Stephen Clinton Larosa, M.D.
• Larry C. Deeb, M.D., P.a.
• Taylor Larson, DO
• Thomas M Larson, MPT
• Amy Jenelle Lash, PA-C
• Jason Lash, PA-C
• Jessica L Lash, APRN

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.