PRAVEEN DATAR (MD) – Pulmonary Disease Physician, NPI 1053734657

PRAVEEN DATAR (MD) is a healthcare provider. based in West plains, Missouri. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 2020004210 (MO). The NPI Number for PRAVEEN DATAR (MD) is 1053734657

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
PRAVEEN DATAR (MD)
NPI
1053734657
Phone
(417) 256-9111
Address
PO BOX 1100
Enumeration Date
3 February 2014
Last Update Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6369335337
Graduation Year
2007 (19 years ago)
PAC ID
2062839897
Group Practice PAC ID
3779512041
Professional Enrollment ID
I20200825003075
Address ID
MO630284141FE1400X61XX407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

411 PULMONARY DISEASE in MO

Provider Addresses for PRAVEEN DATAR (MD)

  • PO BOX 1100

    WEST PLAINS, MO 657751100

    Phone: (417) 256-9111

    Fax: (417) 257-5924

    Type: Mailing

  • 1100 N KENTUCKY AVE

    WEST PLAINS, MO 657752029

    Phone: (417) 256-9111

    Type: Location

  • 1115 ALASKA ST STE 114

    WEST PLAINS, MO 657752000

    Phone: (417) 257-5950

    Fax: (417) 257-5924

    Type: Location

  • 1390 US Highway 61 Ste N2300

    Festus, MO 630284137

    Phone: (636) 543-2405

    Type: Location

  • 1400 US Highway 61

    Festus, MO 630284100

    Phone: (636) 933-5411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $608.

Total Amount is formed as General ($608) + Research ($0) + Ownership ($0) = $608.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Merit Medical Systems Inc ($353).

Total Amount

$608

General + Research + Ownership

Payments

4

Total payment records

General Amount

$608

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

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: 2020-08-25

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
I20200825003075IPulmonary DiseaseMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes391228$0
94729Test to examine how well the lungs exchange gases126124$0
94726Test to determine lung volumes using sensors114112$0
99204New patient office or other outpatient visit, 45-59 minutes106106$0
94060Test to measure expiratory airflow and volume changes before and after medication administration8381$0
View full utilization report →

Insurance plans in this area (ZIP 65775)

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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: 3779512041View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists)MO
Critical Care (Intensivists)MO
Physician AssistantMO
Physician AssistantMO
Physician AssistantMO
Physician AssistantMO
Nurse PractitionerMO
Critical Care (Intensivists), Internal MedicineMO
Hospitalist, Pulmonary Disease, Critical Care (Intensivists)MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Does PRAVEEN DATAR (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PRAVEEN DATAR (MD) uses 1053734657.
Is PRAVEEN DATAR (MD) listed as active for patients and plans?
The listing shows PRAVEEN DATAR (MD) as active in the NPI system.
What taxonomy line describes PRAVEEN DATAR (MD)?
For research purposes, treat PRAVEEN DATAR (MD) as Pulmonary Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does PRAVEEN DATAR (MD) serve?
PRAVEEN DATAR (MD)'s listing highlights West Plains, Missouri; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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