Vinod Prasad
Individual provider Active NPI Pediatric Critical Care Medicine Physician · Durham, NC
NPI 1013070895 · NPPES record last updated Oct 25, 2007
Key facts
- NPI
- 1013070895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Critical Care Medicine Physician 2080P0203X
- Practice address
- 2100 Erwin Rd
Durham, NC 27710-0001 - Phone
- (919) 620-4467
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031219000659 | NC | Practitioner - Hematology/Oncology | 6002714771 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003-01277 | NC | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2100 Erwin Rd
#3350
Durham, NC 27705
Phone (919) 668-1100
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
Interoperability endpoints
- vprasad54538@direct.medicine.duke.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | NC | Yes |
Addresses
Primary practice location
2100 Erwin Rd
Durham, NC 27710-0001
Mailing address
2100 Erwin Rd
Duke University Medical Center - Dumc 3350
Durham, NC 27710-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89135KY | Medicaid | NC | |
| 135KY | Other | BCBS |
Other providers in Durham, NC
- Isabel Patricia Prado
- Sasapin Grace Prakalapakorn
- Ipshita Prakash
- Lyndsey Nicole Prange
- Suman Prasad
- Christopher William Prater
- Jackson Monroe Prather
- Trina Dugger Prather
- Emily P Pratt
- Thomas O. Prebeck
All providers in Durham, NC · Pediatric Critical Care Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.