DR. PRANEETHA THULASI (MD) – Ophthalmology Physician, NPI 1740546696

DR. PRANEETHA THULASI (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 2023016101 (MO). The NPI Number for DR. PRANEETHA THULASI (MD) is 1740546696

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRANEETHA THULASI (MD)
NPI
1740546696
Phone
(314) 435-1152
Address
199 14TH ST NE
Enumeration Date
4 April 2012
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3143623937
Graduation Year
2012 (14 years ago)
PAC ID
0749574515
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20230803003630
Address ID
MO631081495SA4901XAVEX406

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:14State licenses:1Other names

958 OPHTHALMOLOGY in IL

Provider Addresses for DR. PRANEETHA THULASI (MD)

  • 199 14TH ST NE

    APARTMENT 1708

    ATLANTA, GA 303093643

    Phone: (314) 435-1152

    Type: Mailing

  • 1740 W TAYLOR ST

    CHICAGO, IL 606127232

    Phone: (866) 600-2273

    Type: Location

  • 4901 FOREST PARK AVE

    DEPT OPHTHALMOLOGY, 6TH FL

    SAINT LOUIS, MO 631081495

    Phone: (314) 362-3937

    Fax: (866) 505-8818

    Type: Location

  • 1365B CLIFTON RD NE

    ATLANTA, GA 303223643

    Phone: (404) 778-2020

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-3937

    Fax: (866) 505-8818

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $2,199.

Total Amount is formed as General ($2,199) + Research ($0) + Ownership ($0) = $2,199.

Last reported payment date: 2024-10-01 • Largest payer in this snapshot: GENZYME CORPORATION ($1,521).

Total Amount

$2,199

General + Research + Ownership

Payments

8

Total payment records

General Amount

$2,199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-01

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: 2023-08-03

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
I20230803003630IOphthalmologyMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes156122$0
99214Established patient office or other outpatient visit, 30-39 minutes129107$0
99204New patient office or other outpatient visit, 45-59 minutes8484$0
66984Removal of cataract with insertion of prosthetic lens5239$0
92136Measurement of corneal curvature and depth of eye4646$0
View full utilization report →

Insurance plans in this area (ZIP 30309)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. PRANEETHA THULASI (MD)?
The federal identifier for DR. PRANEETHA THULASI (MD) is NPI 1740546696.
Does this profile mean DR. PRANEETHA THULASI (MD) is currently active?
Yes — DR. PRANEETHA THULASI (MD) appears active in the national provider directory.
Does DR. PRANEETHA THULASI (MD) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for DR. PRANEETHA THULASI (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. PRANEETHA THULASI (MD)?
We surface Atlanta, Georgia for DR. PRANEETHA THULASI (MD) based on available NPPES addresses.
Is DR. PRANEETHA THULASI (MD) a real provider?
This page reflects official NPPES data for NPI 1740546696. Always confirm identity and privileges with the practice and licensing boards.

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