Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942208905 Individual Practitioner Male Practitioner

Dr. Prakash S Bhoopalam , MD

Pediatrics • Muncie, IN

Professional Overview & Biography Verified Profile Summary

Dr. Prakash Bhoopalam, MD is a registered healthcare professional specializing in Pediatrics in Muncie, IN. Practice services are available at 2525 W UNIVERSITY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2525 W University Ave
Suite 404

Muncie, IN 47303

Telephone 7652319494
Fax 7655874456
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Muncie, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
17 Specialists

Practicing in Muncie, IN (1179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01040631A

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Neonatal-Perinatal Medicine

NUCC Taxonomy Code: 2080N0001X

State License IN 01040631A

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100362560 (IN)

Secondary Practice Locations

11725 N Illinois St Ste 450

Carmel, IN 460323010

Phone: 3172744715

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Chasity Evans , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1013286699

CPNPPC

NPI 1780992313

Doctor of Medicine (M.D.)

Nicole Rector , NP

Nurse Practitioner - Pediatrics

NPI 1831561133

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

23 Historical Events
📍
Updated Business Mailing Address February 27, 2025

Registered at 10520 ROXLEY BEND, CARMEL, IN 46032 (Tel: 7657295829)

👤
Provider Name / Credentials Updated February 27, 2025

Recorded as PRAKASH BHOOPALAM, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2025

Pediatrics (License #01040631A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2020

Pediatrics (License #01040631A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2020

Pediatrics (License #01040631A in IN)

📍
Updated Practice Location June 01, 2018

Registered at 2525 W UNIVERSITY AVE, SUITE 404, MUNCIE, IN 47303 (Tel: 7652319494)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Pediatrics (License #01040631A in IN)

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 2525 W UNIVERSITY AVE, SUITE 404, MUNCIE, IN 473033421 (Tel: 7652319494)

📍
Updated Business Mailing Address March 17, 2018

Registered at 6800 W SAINT ANDREWS AVE, YORKTOWN, IN 473969333

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as PRAKASH BHOOPALAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #01040631A in IN)

NPI Profile Active January 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2018

Registered at 2525 W UNIVERSITY AVE, SUITE 404, MUNCIE, IN 473033421 (Tel: 7652319494)

📍
Updated Business Mailing Address January 02, 2018

Registered at 6800 W SAINT ANDREWS AVE, YORKTOWN, IN 473969333

👤
Provider Name / Credentials Updated January 02, 2018

Recorded as PRAKASH BHOOPALAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2018

Pediatrics (License #01040631A in IN)

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2015

Registered at 2525 W UNIVERSITY AVE, SUITE 404, MUNCIE, IN 473033421 (Tel: 7652892616)

📍
Updated Business Mailing Address June 30, 2015

Registered at 6800 W SAINT ANDREWS AVE, YORKTOWN, IN 473969333

👤
Provider Name / Credentials Updated June 30, 2015

Recorded as PRAKASH BHOOPALAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Pediatrics (License #01040631A in IN)

🟢
Initial NPI Registration & Enumeration July 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Prakash Bhoopalam. Be the first to share your experience!

Sign in to leave a review for Dr. Prakash Bhoopalam

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1942208905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2005
Last Update: February 27, 2025
Sole Proprietor: Yes

Mailing Address

10520 Roxley Bend

Carmel, IN 46032

Phone: 7657295829

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.