Prabhakar R Tipirneni (NPI# 1124059555, PAC ID# 9830156215) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1124059555 |
| PAC ID by PECOS | 9830156215 |
| Professional Enrollment ID | I20041216001083 |
| Full Name | Prabhakar R Tipirneni |
| Address |
24 Salt Pond Rd Suite H2 Wakefield RI 02879-4337 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1975 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY, MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410008 | SOUTH COUNTY HOSPITAL INC |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24 Salt Pond Rd, Suite H2, Wakefield, RI 02879-4337 | ||
| 215 Toll Gate Rd, Warwick, RI 02886-4458 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
24 SALT POND RD SUITE H2 |
| City | WAKEFIELD |
| State | RI |
| Zip | 02879-4337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric D Meehan | Podiatry | South County Foot and Ankle, Inc. | 24 Salt Pond Rd, Suite E1, Wakefield, RI 02879-4335 |
| Jayson J. Spas | Psychologist, Clinical | Delta Consultants of South County Inc | 24 Salt Pond Rd, D4, Wakefield, RI 02879-4334 |
| Thomas J Comiskey | Psychologist, Clinical | Delta Consultants of South County Inc | 24 Salt Pond Rd, D4, Wakefield, RI 02879-4334 |
| William V Catone | Psychologist, Clinical | Delta Consultants of South County Inc | 24 Salt Pond Rd, D4, Wakefield, RI 02879-4334 |
| Lizbeth E Wolfgang | Psychologist, Clinical | Delta Consultants of South County Inc | 24 Salt Pond Rd, D4, Wakefield, RI 02879-4334 |
| Susan D Mandel | Clinical Social Worker | Delta Consultants of South County Inc | 24 Salt Pond Rd, D4, Wakefield, RI 02879-4334 |
| Kara Marie Kirker | Psychologist, Clinical | 24 Salt Pond Rd, Suite B4, Wakefield, RI 02879-4320 | |
| Lynn Nicoletta | Psychologist, Clinical | Delta Consultants of South County Inc | 24 Salt Pond Rd, D4, Wakefield, RI 02879-4334 |
| Sara Elizabeth Cathcart | Podiatry | South County Foot and Ankle, Inc. | 24 Salt Pond Rd, Suite E1, Wakefield, RI 02879-4335 |
| Gary J Post | Chiropractic | 24 Salt Pond Rd, Suite C5, Wakefield, RI 02879-4320 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terese Tanski Gregg | Clinical Social Worker | 23 N Rd, Suite A22, Wakefield, RI 02879-2176 | |
| Leslie R Morales Oliver | Clinical Social Worker | 23 N Rd, Unit A21, Wakefield, RI 02879-2176 | |
| Nicole M Fantoni | Optometry | Koch Eye Associates,llp | 20 Hampton Way, Suite 1a, Wakefield, RI 02879-2554 |
| Barry M Wepman | Ophthalmology | Koch Eye Associates,llp | 20 Hampton Way, Suite 1a, Wakefield, RI 02879-2554 |
| Kristen L Burns | Optometry | Koch Eye Associates,llp | 20 Hampton Way, Suite 1a, Wakefield, RI 02879-2554 |
| Mark S Deresienski | Optometry | Koch Eye Associates,llp | 20 Hampton Way, Suite 1a, Wakefield, RI 02879-2554 |
| Jamiel J Ambrad | Family Medicine | 730 Kingstown Rd, Unit B5, Wakefield, RI 02879-3002 | |
| Christine L Pelton | Chiropractic | Pelton Family Chiropractic Center, Inc. | 730 Kingstown Rd, Suite 3, Wakefield, RI 02879-3002 |
| Kevin J Pelton | Chiropractic | Pelton Family Chiropractic Center, Inc. | 730 Kingstown Rd, Suite 3, Wakefield, RI 02879-3002 |
| Kristin C Riley | Physical Therapy | Olympic Physical Therapy and Sports Medicine Inc | 730 Kingstown Rd, Wakefield, RI 02879-3011 |
| Find all physicians in zip 02879 | |||
| City | WAKEFIELD |
| Zip Code | 02879 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | WAKEFIELD + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Prabhakar R Tipirneni.
| 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.