Individual ProviderPraneeth KatrapatiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address550 S Jackson St, Louisville, KY 40202-1622(502) 852-5666(502) 562-3000PECOS EnrollmentBased on the most recent information from CMS, provider Praneeth Katrapati is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1720442585Provider TypeIndividualFull NameKatrapati, PraneethGenderMaleSole ProprietorYesEnumeration Date4/7/2016Last Updated6/26/2019Contact InformationPractice LocationPractice Address550 S Jackson St, Louisville, KY 40202-1622Phone(502) 852-5666FaxUnlisted FaxMailing LocationMailing Address530 S Jackson St, Louisville, KY 40202-1675Phone(502) 562-3000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense52291KentuckyCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense52291Kentucky