Active NPI
Trikannad S Prashanthkumar, MD
- Endocrinology, Diabetes & Metabolism Physician
- Sidney, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 35-071509
- Practice address
- 915 Michigan St Ste 100
Sidney, OH 45365-2401 - Phone
- (937) 498-5384
- Fax
- (937) 492-8093
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 35-071509 | OH | Primary |
Addresses
Primary practice location
915 Michigan St Ste 100
Sidney, OH 45365-2401
Mailing address
915 West Michigan St
Sidney, OH 45365-2401
Phone (937) 498-5384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003852 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trikannad.prashanthkumar@wilsonhospital.medicity.net | ||
| Direct Messaging Address | ctrikannad.prashanthkumar@wilsonhospital.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 Michigan St
Suite 100
Sidney, OH 45365-2401
Phone 93749459880000
Hospital & facility affiliations
- Wilson Memorial Hospital
- Mercer County Joint Township Community Hospital
- Grand Lake Health System
- Wayne Hospital
- Lima Memorial Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.07 of 100
- Quality
- 72.51
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-071509 | OH | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Care, LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311
915 Michigan St
Ste 204
Sidney, OH 45365
Phone (419) 996-5224
1081 Fairington Dr
Sidney, OH 45365
Phone (937) 493-0009
915 Michigan St
Ste 100
Sidney, OH 45365
Phone (937) 419-8049
Interoperability endpoints
- tprashanthkumar1537941@direct.osumc.edu
- https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Sidney, OH
- NPI 1205886926
Endocrinology, Diabetes & Metabolism
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
- General Acute Care Hospital
- Sidney, OH
- NPI 1639174204
-
- Critical Access Hospital
- Greenville, OH
- NPI 1184621161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1023067428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 WEST MICHIGAN ST",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453652401",
"telephone_number": "937-498-5384",
"fax_number": "937-492-8093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MICHIGAN ST STE 100",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453652401",
"telephone_number": "937-498-5384",
"fax_number": "937-492-8093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASHANTHKUMAR",
"first_name": "TRIKANNAD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2020-12-16",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OH",
"license": "35-071509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2003852",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "trikannad.prashanthkumar@wilsonhospital.medicity.net",
"affiliation": "N",
"address_1": "915 Michigan St Ste 100",
"city": "Sidney",
"state": "OH",
"country_code": "US",
"postal_code": "453652401",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ctrikannad.prashanthkumar@wilsonhospital.medicity.net",
"affiliation": "N",
"address_1": "915 Michigan St Ste 100",
"city": "Sidney",
"state": "OH",
"country_code": "US",
"postal_code": "453652401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.