Praveen Nandamuru, MD
NPI 1396242954 · Pediatrics Physician · Little Rock, AR
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Praveen Nandamuru, MD is a Pediatrics Physician provider in Little Rock, AR (NPI 1396242954).
Provider details
- NPI number
- 1396242954
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2021022245 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1465 S. Grand Blvd.Room 2717Saint Louis, MO 63104-1004Phone: (314) 268-4070Fax: (314) 268-4070
Registry dates
- Enumerated
- 2018-04-10
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Frequently asked questions
- What is Praveen Nandamuru's NPI number?
- Praveen Nandamuru's National Provider Identifier (NPI) is 1396242954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Praveen Nandamuru's specialty?
- Praveen Nandamuru is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Praveen Nandamuru located?
- Praveen Nandamuru's practice location on file with NPPES is 1 Childrens Way # 512-17, Little Rock, AR 72202-3500.
- What is Praveen Nandamuru's phone number?
- The practice phone number listed in the NPPES registry for Praveen Nandamuru is (501) 364-1893.
- Does Praveen Nandamuru accept Medicare?
- Praveen Nandamuru is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Praveen Nandamuru's NPI active?
- Yes — Praveen Nandamuru's NPI (1396242954) is active in the NPPES registry as of the last update on 2023-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.