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

Praveen Kumar Boddu, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609494384

Praveen Kumar Boddu, MD is a Pediatric Medicine in Muncie, Indiana. Qualified in 2014, 12 years ago. Practices with Iu Health Medical Group Riley Specialists LLC, a 271-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2020
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

2401 W University Ave
Muncie, IN 47303-3428
Phone: (765) 751-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3901 Beaubien St Ste 3t72, Detroit, MI 48201-2119 — (313) 745-7496

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 01094599A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609494384
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2020
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address2401 W University Ave, Muncie, IN 47303-3428

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Iu Health Medical Group Riley Specialists Llc — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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