Look up the most recent NPI and PECOS records

Naga Pranavi Ellanti

Family Medicine

Allopathic & Osteopathic Physicians

903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903

PECOS Enrollment

Based on the most recent information from CMS, provider Naga Pranavi Ellanti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1245892272
Provider Type
Individual
Full Name
Ellanti, Naga Pranavi
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/29/2019
Last Updated
10/15/2024

Contact Information

Practice Location

903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903

(201) 358-5909

(210) 702-4650

Mailing Location

903 W Martin St # Ms 49-2, San Antonio, TX 78207-0903

(201) 358-5909

(210) 358-5940

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License V2472 Texas
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License 125074533 Illinois
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License A176510 California

Naga Pranavi Ellanti

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Buck, Mark

Ravi, Tharani

Ponse Wheelis, Maria Delores

Ali, Fozia Akhtar

Moscrip, Cordelia A

Guzman, Alfonso

Lee, Kenyatta Y

Horne, Josiah

Pathi, Swetha

Martinez, Rafael