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

Prasanna Kumar Reddy Tadi, MD

Individual provider Neurology Physician · NPI 1689962441

Prasanna Kumar Reddy Tadi, MD is a Neurology in Wilkes Barre, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group and accepts Medicare assignment. Licensed in California, Indiana, Nebraska and Pennsylvania and 3 more.

Years since qualifying
19
Licensed in
CA, IN, NE, PA, RI, WA
In the registry since
2011
Specialties on file
7
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

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone: (570) 808-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence C188058 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence MD61530989 (WA)
Neurology Physician Taxonomy 2084N0400X · Licence 29725 (NE)
Neurology Physician Taxonomy 2084N0400X · Licence MD458144 (PA)
Neurology Physician Taxonomy 2084N0400X · Licence LP02757 (RI)
Neurology Physician Taxonomy 2084N0400X · Licence 81287 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence 01089863A (IN)

Record details

NPI number1689962441
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2011
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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