NPIMap

Individual provider Active NPI

Trikannad S Prashanthkumar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Sidney, OH
National Provider Identifier
1023067428
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35-071509 Issued in OH
Practice address
915 Michigan St Ste 100
Sidney, OH 45365-2401
Phone
(937) 498-5384
Fax
(937) 492-8093
NPI assigned
May 10, 2006
Last updated
Dec 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Electronic endpoints 2

TypeEndpointUseAffiliation
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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000001 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 1153382031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

915 Michigan St
Suite 100
Sidney, OH 45365-2401
Phone 93749459880000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.07 of 100Reported as group
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

LicenseStateTypeSpecialty
35-071509OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson Care, LLC Endocrinology, Diabetes & Metabolism CurrentSince May 5, 2003 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1081 Fairington Dr
Sidney, OH 45365
Phone (937) 493-0009

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

915 Michigan St
Ste 100
Sidney, OH 45365
Phone (937) 419-8049

915 Michigan St
Ste 204
Sidney, OH 45365
Phone (419) 996-5224

Interoperability endpoints

  • Direct secure messaging: ctrikannad.prashanthkumar@wilsonhospital.medicity.net
  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tprashanthkumar1537941@direct.osumc.edu
  • Direct secure messaging: trikannad.prashanthkumar@wilsonhospital.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": [],
    "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

Verify at the official NPI Registry.