Praveen Kumar Boddu, MD
NPI 1609494384 · Neonatal-Perinatal Medicine Physician · Muncie, IN
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Praveen Kumar Boddu, MD is a Neonatal-Perinatal Medicine Physician provider in Muncie, IN (NPI 1609494384).
Provider details
- NPI number
- 1609494384
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% 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)
- 3901 Beaubien St Ste 3t72Detroit, MI 48201-2119Phone: (313) 745-7496
Registry dates
- Enumerated
- 2020-07-09
- Last updated
- 2025-08-07
- Certified
- 2025-08-07
Frequently asked questions
- What is Praveen Kumar Boddu's NPI number?
- Praveen Kumar Boddu's National Provider Identifier (NPI) is 1609494384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Praveen Kumar Boddu's specialty?
- Praveen Kumar Boddu is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Praveen Kumar Boddu located?
- Praveen Kumar Boddu's practice location on file with NPPES is 2401 W University Ave, Muncie, IN 47303-3428.
- What is Praveen Kumar Boddu's phone number?
- The practice phone number listed in the NPPES registry for Praveen Kumar Boddu is (765) 751-2650.
- Does Praveen Kumar Boddu accept Medicare?
- Praveen Kumar Boddu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Praveen Kumar Boddu's NPI active?
- Yes — Praveen Kumar Boddu's NPI (1609494384) is active in the NPPES registry as of the last update on 2025-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.