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

Praveen Datar, MD

Individual provider Pulmonary Disease Physician · NPI 1053734657

Praveen Datar, MD is a Pulmonary Disease in West Plains, Missouri. Qualified in 2007, 19 years ago. Practices with Mercy Clinic Pulmonology - St Louis, LLC, a 22-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
19
Licensed in
MO
In the registry since
2014
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

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone: (417) 256-9111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1390 Us Highway 61 Ste N2300, Festus, MO 63028-4137 — (636) 543-2405
  • 1400 Us Highway 61, Festus, MO 63028-4100 — (636) 933-5411

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 2020004210 (MO)

Record details

NPI number1053734657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 3, 2014
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024
Mailing addressPo Box 1100, West Plains, MO 65775-1100

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mercy Clinic Pulmonology - St. Louis, Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in West Plains