Individual provider Active NPI

Pranav Mirpuri

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1932890142
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3550 N Lake Shore Dr Apt 306
Chicago, IL 60657-1901
Phone
(952) 686-1302
NPI assigned
May 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3550 N Lake Shore Dr Apt 306
Chicago, IL 60657-1901

Mailing address

3550 N Lake Shore Dr Apt 306
Chicago, IL 60657-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240712002733 MN Order and Referring Only - NeurologyPractitioner - Neurology 3577008663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1932890142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N LAKE SHORE DR APT 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N LAKE SHORE DR APT 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571901",
            "telephone_number": "952-686-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRPURI",
        "first_name": "PRANAV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.