Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nivedita Prasanna, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255713343

Dr. Nivedita Prasanna, MD is an Internal Medicine in Jackson, Tennessee. Qualified in 2015, 11 years ago. Practices with West Tennessee Healthcare Hospitalists Inc, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Tennessee.

Years since qualifying
11
Licensed in
IL, TN
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Jackson, TN
Fax: (731) 660-8739

Additional practice locations (1)

  • 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 — (202) 741-3000

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 61203 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125067100 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255713343
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 24, 2015
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice West Tennessee Healthcare Hospitalists Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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