PRASHANTH R VENNALAGANTI (MD) – Gastroenterology Physician, NPI 1205032612

PRASHANTH R VENNALAGANTI (MD) is a healthcare provider. based in Milton, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. R7997 (IA). The NPI Number for PRASHANTH R VENNALAGANTI (MD) is 1205032612

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
PRASHANTH R VENNALAGANTI (MD)
NPI
1205032612
Phone
(319) 621-0859
Address
4020 HOPEWELL SPRINGS DR
Enumeration Date
22 June 2007
Last Update Date
1 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508772105
Graduation Year
2000 (26 years ago)
PAC ID
1557486396
Group Practice PAC ID
8628054053
Professional Enrollment ID
I20200824001028
Address ID
FL323085314TA2400XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:18State licenses:3Digital endpointsOther names

161 GASTROENTEROLOGY in IA

Provider Addresses for PRASHANTH R VENNALAGANTI (MD)

  • 4020 HOPEWELL SPRINGS DR

    MILTON, GA 300041704

    Phone: (319) 621-0859

    Fax: (319) 621-0859

    Type: Mailing

  • 200 Hawkins Dr

    Iowa City, IA 52242

    Phone: (319) 356-4241

    Fax: (319) 356-3086

    Type: Location

  • Tallahassee Memorial HealthCare, 1300, Miccosukee Road, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323085054

    Phone: (850) 431-1155

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $808.

Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($226).

Total Amount

$808

General + Research + Ownership

Payments

30

Total payment records

General Amount

$808

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200824001028IGastroenterologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes113113$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito10194$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6763$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5653$0
45380Biopsy of large bowel using a flexible endoscope3434$0
View full utilization report →

Insurance plans in this area (ZIP 30004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628054053View full group profile
NameSpecialtyState
Physician AssistantGA
-TX
G A S T R O E N T E R O L O G YFL
-FL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL
G A S T R O E N T E R O L O G YNV
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find PRASHANTH R VENNALAGANTI (MD)'s NPI?
You can confirm PRASHANTH R VENNALAGANTI (MD) with NPI 1205032612; it appears in the national provider directory.
Does this profile mean PRASHANTH R VENNALAGANTI (MD) is currently active?
Yes — PRASHANTH R VENNALAGANTI (MD) appears active in the national provider directory.
Does PRASHANTH R VENNALAGANTI (MD) list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for PRASHANTH R VENNALAGANTI (MD). Clinical services aligned with this taxonomy classification.
Where does public data place PRASHANTH R VENNALAGANTI (MD)?
The snapshot lists Milton, Georgia for PRASHANTH R VENNALAGANTI (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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