Prasanna Kumar Reddy Tadi (NPI# 1689962441, PAC ID# 3678791241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1689962441 |
| PAC ID by PECOS | 3678791241 |
| Professional Enrollment ID | I20170612001793 |
| Full Name | Prasanna Kumar Reddy Tadi |
| Organization Legal Name | ALEGENT CREIGHTON CLINIC |
| Address |
2412 Cuming St Suite 200 Omaha NE 68131-1601 |
| Phone Number | 4027170800 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 1951210418 |
| Number of Group Practice Members | 568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 280060 | CHI HEALTH BERGAN MERCY |
| 280081 | CHI HEALTH IMMANUEL |
| Address | Phone | Organization |
|---|---|---|
| 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 | 4027170800 | ALEGENT CREIGHTON CLINIC |
| Organization Legal Name | ALEGENT CREIGHTON CLINIC |
| Physicians | 618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sangeeta Mutnuri | Nephrology | Alegent Creighton Clinic | 1213 Garfield, Alegent Creighton Clinic Iowa Outreach, Harlan, IA 51537-2057 |
| Jasper Nathaniel Kaufman | Nurse Practitioner | Alegent Creighton Clinic | 8141 W Ctr, Omaha, NE 68124-3273 |
| Rajani Rangray | Gastroenterology | Alegent Creighton Clinic | 7710 Mercy Rd, Suite 2000, Omaha, NE 68124-2323 |
| Eduardo Herrera Lirio | Obstetrics/gynecology | Alegent Creighton Clinic | 11111 S 84th St, Papillion, NE 68046-4157 |
| Kathleen Sekpe | Obstetrics/gynecology | Alegent Creighton Clinic | 5005 S 153rd St, Suite 100, Omaha, NE 68137-5069 |
| Jason Krupp | Internal Medicine | Alegent Creighton Clinic | 13315 W Ctr Rd, Omaha, NE 68137-3449 |
| Elizabeth L Hinzmann | Nurse Practitioner | Alegent Creighton Clinic | 700 S Hwy St, Alegent Creighton Clinic Oakland, Oakland, IA 51560-4357 |
| Nada Skaf | Rheumatology | Alegent Creighton Clinic | 6829 N 72nd St, Omaha, NE 68122-1724 |
| Thomas R Strawmier | Nurse Practitioner | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Amy Leah Mcgaha | Family Medicine | Alegent Creighton Clinic | 3308 Samson Way, Bellevue, NE 68123-3234 |
| Street Address |
2412 CUMING ST SUITE 200 |
| City | OMAHA |
| State | NE |
| Zip | 68131-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Strawmier | Nurse Practitioner | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Ashley M Self | Nurse Practitioner | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Amanda K Bogard | Nurse Practitioner | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Amna Sohail | Neurology | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Matthew A Halfar | Family Medicine | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Andrea George | Endocrinology | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Saleem N Jafilan | Emergency Medicine | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Margaret Kaitlin Sheehy | Emergency Medicine | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Sarah M Waterman | Family Medicine | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Thomas P Guck | Psychologist, Clinical | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly A Doyle | Psychologist, Clinical | 3909 Cuming St, Suite 202, Omaha, NE 68131-1225 | |
| Bronson J Boosalis | Emergency Medicine | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Liza V S Escobedo | Emergency Medicine | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Kathryn Moreland | Obstetrics/gynecology | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Roland W Petri | Emergency Medicine | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Caron J Gray | Obstetrics/gynecology | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Dipti Agarwal | Emergency Medicine | Emergency Physician Associates of Nebraska PC | 2412 Cuming St, Omaha, NE 68131-1601 |
| Michael A Greene | Family Medicine | Alegent Creighton Clinic | 2412 Cuming St, Suite 200, Omaha, NE 68131-1601 |
| Allyssa Larose | Qualified Speech Language Pathologist | Father Flanagans Boys Home | 425 N 30th St, Lied Learning and Technology Center, Omaha, NE 68131-2100 |
| Stephanie M Tupper | Qualified Speech Language Pathologist | Father Flanagans Boys Home | 425 N 30th St, Lied Learning and Technology Center, Omaha, NE 68131-2100 |
| Find all physicians in zip 68131 | |||
| City | OMAHA |
| Zip Code | 68131 |
| Specialty | NEUROLOGY |
| City + Specialty | OMAHA + NEUROLOGY |
Please comment or provide details below to improve the information on Prasanna Kumar Reddy Tadi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.