PRAMEELA BANOTH (M.D) – Nephrology Physician, NPI 1720395171

PRAMEELA BANOTH (M.D) is a healthcare provider. based in Olathe, Kansas. specializing in NEPHROLOGY. They hold the professional credentials M.D. They hold a License No. 2012019401 (MO). The NPI Number for PRAMEELA BANOTH (M.D) is 1720395171

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
PRAMEELA BANOTH (M.D)
NPI
1720395171
Phone
(913) 381-0622
Address
1295 E 151st St Ste 7
Enumeration Date
7 September 2010
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133810622
Graduation Year
2004 (22 years ago)
PAC ID
6406002120
Group Practice PAC ID
9931012820
Professional Enrollment ID
I20250610003588
Address ID
KS660623429OL1295XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:15State licenses:3Digital endpointsOther names

78 NEPHROLOGY in KS

Provider Addresses for PRAMEELA BANOTH (M.D)

  • 1295 E 151st St Ste 7

    Olathe, KS 66062

    Phone: (913) 381-0622

    Fax: (913) 254-1120

    Type: Location

  • 1235 E Cherokee St

    Springfield, MO 658042203

    Phone: (417) 820-2600

    Fax: (417) 820-2100

    Type: Location

  • 2310 HOLMES ST STE 800

    KANSAS CITY, MO 641082602

    Phone: (816) 218-2500

    Type: Mailing

  • 2790 CLAY EDWARDS DR STE 410

    NORTH KANSAS CITY, MO 641163274

    Phone: (816) 474-0458

    Fax: (816) 471-2723

    Type: Mailing

  • 2301 HOLMES ST

    KANSAS CITY, MO 641082640

    Phone: (816) 404-4070

    Fax: (816) 404-4075

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2023-08-22 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($24).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-22

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: 2025-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20120813000719INephrologyMOTBD
I20230418000261INephrologyCATBD
I20250610003588INephrologyKSTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9941$0
99214Established patient office or other outpatient visit, 30-39 minutes6759$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6640$0
90962Dialysis services, 1 physician visit per month (20 years or older)5634$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)5119$0
View full utilization report →

Insurance plans in this area (ZIP 66062)

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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: 9931012820View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Nephrology, Internal MedicineKS
Nurse PractitionerMO
N E P H R O L O G YKS
N E P H R O L O G YIL
Nurse PractitionerIA
N E P H R O L O G YMO

Reviews

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Frequently asked questions

What federal number belongs to PRAMEELA BANOTH (M.D)?
The federal identifier for PRAMEELA BANOTH (M.D) is NPI 1720395171.
Is PRAMEELA BANOTH (M.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does PRAMEELA BANOTH (M.D) treat or focus on?
Patients typically see PRAMEELA BANOTH (M.D) under the specialty Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PRAMEELA BANOTH (M.D)?
The page summarizes Olathe, Kansas for PRAMEELA BANOTH (M.D); expand the address list for detail.
Is PRAMEELA BANOTH (M.D) a real provider?
This page reflects official NPPES data for NPI 1720395171. Always confirm identity and privileges with the practice and licensing boards.

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