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

Praba Boominathan, MD

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1629456074

Praba Boominathan, MD is an Anesthesiology in Philadelphia, Pennsylvania. Graduated from Rutgers School of Dental Medicine in 2015, 11 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
11
Trained at
Rutgers School of Dental Medicine
Licensed in
PA
In the registry since
2015
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

3400 Spruce St
Philadelphia, PA 19104-4206
Phone: (215) 349-8310
Fax: (215) 893-7270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence MD468544 (PA)

Record details

NPI number1629456074
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2015
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolRUTGERS SCHOOL OF DENTAL MEDICINE
Graduated 2015 (11 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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