Active NPI
Pranathi Lingam, M.D.
- Dermatology Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 37247
- Practice address
- 1354 E 15TH St
Edmond, OK 73013-5029 - Phone
- (405) 285-8823
- NPI assigned
- Oct 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | P6859 | TX | |
| Internal Medicine Physician | 207R00000X | BP10034494 | TX | |
| Internal Medicine Physician | 207R00000X | 37247 | OK | |
| Dermatology Physician | 207N00000X | 37247 | OK | Primary |
Addresses
Primary practice location
1354 E 15TH St
Edmond, OK 73013-5029
Mailing address
14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 419-8465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| . | Other | . |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Alabama School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6516 N Olie Ave
Suite G
Oklahoma City, OK 73116-7399
Phone (405) 608-8060
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 790 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 182 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10034494 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Health Services LLC | Current | Accepting new patients | |
| The Physicians Group LLC | Internal Medicine | Current | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1616 S Kelly Ave
Edmond, OK 73013
Phone (405) 330-0015
1354 E 15th St
Edmond, OK 73013
Phone (405) 285-8823
10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300
14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447
6516 N Olie Ave
Ste G
Oklahoma City, OK 73116
Phone (405) 608-8060
Interoperability endpoints
- plingam@spectrumdermokc.emadirect.md
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.
-
- Rheumatology Physician
- Oklahoma City, OK
- NPI 1275286080
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
Internal Medicine
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1821324963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14024 QUAIL POINTE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341006",
"telephone_number": "405-419-8465",
"fax_number": "405-419-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 E 15TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730135029",
"telephone_number": "405-285-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINGAM",
"first_name": "PRANATHI",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-25",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "P6859",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10034494",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "37247",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OK",
"license": "37247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": ".",
"identifier": ".",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.