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

Prathik Kolluru, MD

Individual provider Hospitalist Physician · NPI 1245612175

Prathik Kolluru, MD is a Hospitalist in Columbia, Missouri. Qualified in 2014, 12 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2015
Specialties on file
2
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

1600 E Broadway
Columbia, MO 65201-5844
Phone: (573) 815-8000
Fax: (573) 815-8040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2024010147 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2024010147 (MO)

Record details

NPI number1245612175
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2015
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address1600 E Broadway, Columbia, MO 65201-5844

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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