DR. PRASANTH NUTHAKKI (MD) – Interventional Pain Medicine Physician, NPI 1114046455
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
67 INTERVENTIONAL PAIN MANAGEMENT in IN
Provider Addresses for DR. PRASANTH NUTHAKKI (MD)
24 Joliet St
Dyer, IN 463111705
Phone: (219) 864-2237
Type: Location
24 JOLIET ST
DYER, IN 463111705
Phone: (219) 864-2237
Type: Location
PO BOX 3039
MUNSTER, IN 463210039
Phone: (937) 985-4010
Type: Mailing
701 SUPERIOR AVE STE B
MUNSTER, IN 463214038
Phone: (219) 333-4757
Fax: (219) 401-4757
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $1,737.
Total Amount is formed as General ($1,737) + Research ($0) + Ownership ($0) = $1,737.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($1,009).
Total Amount
$1,737
General + Research + Ownership
Payments
34
Total payment records
General Amount
$1,737
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,009 |
| Abbott Laboratories | $317 |
| PAINTEQ LLC | $296 |
| Nevro Corp. | $46 |
| MML US, Inc. | $30 |
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: 2013-02-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130219000392 | I | Physical Medicine And Rehabilitation | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 570 | 244 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 149 | 149 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 73 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 82 | 74 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 79 | 63 | $0 |
Insurance plans in this area (ZIP 46311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN |
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