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

Dr. Pranitha Mantrala, MD

Individual provider Internal Medicine Physician · NPI 1578843496

Dr. Pranitha Mantrala, MD is a Hospitalist in Bridgeport, Connecticut. Qualified in 2007, 19 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
19
Licensed in
CT, NY
In the registry since
2011
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

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 641-5484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 670 Stoneleigh Ave, Carmel, NY 10512-3997 — (845) 279-5711

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 56312 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 276789 (NY)
Hospitalist Physician Taxonomy 208M00000X · Licence 276789 (NY)

Record details

NPI number1578843496
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 23, 2011
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address267 Grant St, Bridgeport, CT 06610-2805

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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