Individual provider

Pramod Kumar Ponna, M.D.

Internal Medicine Physician Deactivated record

Pramod Kumar Ponna, M.D. is an Internal Medicine Physician in Shreveport, LA, registered under NPI 1659807774. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

This NPI is deactivated. The provider has retired, changed registration, or the number was retired by CMS. Details below are kept for reference — do not rely on them to arrange care.

Getting there

The practice address on file is 1541 KINGS HWY, Shreveport, LA 71103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1541 KINGS HWY, Shreveport, LA 71103 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
324263 LA Internal Medicine Physician primary
0101276921 VA Internal Medicine Physician

Licences are recorded in 2 states: LA, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Internal Medicine
PAC ID
3971875139

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Virginia I20221101001753 Practitioner - Internal Medicine
Oklahoma I20240913000558 Practitioner - Internal Medicine

Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. There are 2 separate enrolment records across 2 states (VA, OK). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Louisiana and Virginia. The practice address on file is in Shreveport, LA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

LA Louisiana practice address
Licence
324263
Specialty
Internal Medicine Physician
Verify with the LA board →
VA Virginia
Licence
0101276921
Specialty
Internal Medicine Physician
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Internal Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207R00000X
Allopathic & Osteopathic Physicians Internal Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207R00000X Internal Medicine Physician 324263 LA primary
207R00000X Internal Medicine Physician 0101276921 VA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1659807774 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 10, 2017
Last updatedAug 18, 2023
StatusDeactivated
Sole proprietorYes
CredentialM.D.
Practice address 1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
Fax (318) 629-4833
Mailing address 1512 W KIRBY PL
Shreveport, LA 71103
The last update on file is Aug 18, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1659807774 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 5 9 8 0 7 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 1 9 7 0 5 7 5

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1659807774?
NPI 1659807774 is the National Provider Identifier assigned to Pramod Kumar Ponna, M.D. in Shreveport, LA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Internal Medicine Physician cover?
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…
How do I contact Pramod Kumar Ponna, M.D.?
The phone number on file with NPPES is (318) 626-0000, last updated Aug 18, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Pramod Kumar Ponna, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1659807774 a valid number?
Yes. 1659807774 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.