DR. RAJENDRA PRASAD MULLAPUDI (M.D.) – Internal Medicine Physician, NPI 1679764096

DR. RAJENDRA PRASAD MULLAPUDI (M.D.) is a healthcare provider. based in Burr ridge, Illinois. specializing in INTERNAL MEDICINE, GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036119143 (IL). The NPI Number for DR. RAJENDRA PRASAD MULLAPUDI (M.D.) is 1679764096

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJENDRA PRASAD MULLAPUDI (M.D.)
NPI
1679764096
Phone
(630) 926-5409
Address
3 SHENANDOAH CT
Enumeration Date
9 August 2007
Last Update Date
18 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8722086457
Graduation Year
2001 (25 years ago)
PAC ID
7113012030
Professional Enrollment ID
I20071005000745
Address ID
IL606601313CH1505XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. RAJENDRA PRASAD MULLAPUDI (M.D.)

  • 3, Shenandoah Court, Burr Ridge, DuPage County, Illinois, 60527, United States

    BURR RIDGE, IL 605270319

    Phone: (630) 926-5409

    Type: Mailing

  • 1505, West Devon Avenue, Rogers Park, Chicago, Rogers Park Township, Cook County, Illinois, 60660, United States

    CHICAGO, IL 606601313

    Phone: (872) 208-6457

    Fax: (872) 208-6459

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $391.

Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($189).

Total Amount

$391

General + Research + Ownership

Payments

23

Total payment records

General Amount

$391

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

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: 2007-10-05

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
I20071005000745IInternal MedicineILTBD

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
97140Therapy procedure using manual technique, each 15 minutes2,05056$0
99214Established patient office or other outpatient visit, 30-39 minutes1,47861$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,37256$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a1,202590$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1,118775$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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Reviews

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Frequently asked questions

Can I verify DR. RAJENDRA PRASAD MULLAPUDI (M.D.) with an NPI only?
You can start verification with NPI 1679764096 for DR. RAJENDRA PRASAD MULLAPUDI (M.D.), then check state licensing separately.
Is DR. RAJENDRA PRASAD MULLAPUDI (M.D.) still practicing?
DR. RAJENDRA PRASAD MULLAPUDI (M.D.) is currently listed as active in the public NPI registry.
What is DR. RAJENDRA PRASAD MULLAPUDI (M.D.)'s specialty?
The listing groups DR. RAJENDRA PRASAD MULLAPUDI (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. RAJENDRA PRASAD MULLAPUDI (M.D.) list a practice location?
Patients near Burr Ridge, Illinois may find DR. RAJENDRA PRASAD MULLAPUDI (M.D.) in results; validate coverage separately.
Why does DR. RAJENDRA PRASAD MULLAPUDI (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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