Active NPI
Praveen Singh, MD
- Pediatrics Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 94186
- Practice address
- 2000 10TH Ave Ste 400
Columbus, GA 31901-3713 - Phone
- (706) 660-2932
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01075278A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 94186 | GA | Primary |
Addresses
Primary practice location
2000 10TH Ave Ste 400
Columbus, GA 31901-3713
Mailing address
2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-4004
Other practice location 1
710 Franklin St Ste 200
Michigan City, IN 46360-3564
Phone (219) 872-6200
Other practice location 2
1509 State St
LA Porte, IN 46350-3115
Phone (219) 324-3431
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201293770 | Medicaid | IN | |
| IN2920002 | Other | IN | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Praveen.Singh@laportehosp.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Ambulatory Healthcare Services, Inc. | Pediatrics | Current | Accepting new patients |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients |
Locations
707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300
1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120
2000 10th Ave
Ste 400
Columbus, GA 31901
Phone (706) 660-2870
Interoperability endpoints
- praveen.singh@healthlinc.directbygreenway.com
- praveen.singh@laportehosp.cernerdirect.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
Pediatrics
-
- Family Medicine Physician
- Phenix City, AL
- NPI 1699240531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1760746531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 KELLE DR",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463048708",
"telephone_number": "219-364-4004",
"fax_number": "219-326-2584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 10TH AVE STE 400",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319013713",
"telephone_number": "706-660-2932"
}
],
"practiceLocations": [
{
"address_1": "710 Franklin St Ste 200",
"address_purpose": "LOCATION",
"city": "Michigan City",
"state": "IN",
"postal_code": "463603564",
"country_code": "US",
"telephone_number": "219-872-6200",
"fax_number": "219-879-2915",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1509 State St",
"address_purpose": "LOCATION",
"city": "LA Porte",
"state": "IN",
"postal_code": "463503115",
"country_code": "US",
"telephone_number": "219-324-3431",
"fax_number": "219-362-3802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SINGH",
"first_name": "PRAVEEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01075278A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "94186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201293770",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN2920002",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Praveen.Singh@laportehosp.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1509 State St",
"city": "LA Porte",
"state": "IN",
"country_code": "US",
"postal_code": "463503115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.