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Active NPI 1760682058 Individual Practitioner Male Practitioner

Dr. Pradeep Putlur , MD

Internal Medicine • Coon Rapids, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Pradeep Putlur, MD is a certified Internal Medicine practicing in Coon Rapids, MN. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Putlur delivers high-quality medical care to the local community at 9055 SPRINGBROOK DR NW.

Dr. Putlur is affiliated with Southern California Permanente Medical Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9055 Springbrook Dr Nw

Coon Rapids, MN 554335841

Telephone 7637809155
Associated Practice Facility / Clinic
🏢 Ambor Corporation Facility NPI 1932236130

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Coon Rapids, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs -0.3 yrs vs City Avg
City Avg: 24.3 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
38 Specialists

Practicing in Coon Rapids, MN (2726 Statewide)

Telehealth Adoption Rate
23.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Putlur (24 Years) 24 Yrs
Coon Rapids Specialty Average (24.3 Years) 24.3 Yrs

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 107806

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WI 50167

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
34918700 (WI)

Hospital & Practice Group Affiliations

Southern California Permanente Medical Group

12100 Euclid St, Garden Grove, CA 928403304

Phone: 8889882800

Southern California Permanente Medical Group

3430 E La Palma Ave, Anaheim, CA 928062020

Phone: 8889882800

Southern California Permanente Medical Group

3460 E La Palma Ave, Anaheim, CA 928062020

Phone: 7146442010

Southern California Permanente Medical Group

5475 E La Palma Ave, Anaheim, CA 928072075

Phone: 7142796088

Practice Associates & Co-Workers

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

40 Associated Practitioners
Blythe Nelson , LICSW

Social Worker - Clinical

NPI 1003156761

Licensed Independent Clinical Social Worker

NPI 1003878091

Doctor of Optometry

Dr. Suzanne Witterholt , MD

Psychiatry & Neurology - Pain Medicine

NPI 1013018688

Doctor of Medicine (M.D.)

Dr. Abby Stanislaw , PsyD

Psychologist - Clinical

NPI 1013242536

Doctor of Psychology (Psy.D.)

NPI 1013409523

Doctor of Audiology

Dr. Emily Strange , DPT

Physical Therapist

NPI 1013675487

Doctor of Physical Therapy

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2021

Internal Medicine (License #50167 in WI)

NPI Profile Active June 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2015

Registered at 9055 SPRINGBROOK DR NW, COON RAPIDS, MN 554335841 (Tel: 7637809155)

📍
Updated Business Mailing Address June 23, 2015

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122625000)

👤
Provider Name / Credentials Updated June 23, 2015

Recorded as PRADEEP PUTLUR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2015

Internal Medicine (License #107806 in MN)

🟢
Initial NPI Registration & Enumeration July 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760682058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2007
Last Update: November 29, 2021
Sole Proprietor: No

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122625000

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.