Active NPI
Ganga Prabhakar, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 19367
- Practice address
- 411 Laurel St
Suite 250
Des Moines, IA 50314-3017 - Phone
- (515) 235-5000
- Fax
- (515) 288-6713
- NPI assigned
- Sep 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036148898 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 19367 | WV | Primary |
Addresses
Primary practice location
411 Laurel St
Suite 250
Des Moines, IA 50314-3017
Mailing address
5880 University Ave
West Des Moines, IA 50266-8209
Phone (515) 633-3835
Other practice location 1
409 W Oak St Ste 202
Carbondale, IL 62901-1464
Phone (618) 529-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1804141000 | Medicaid | WV |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gprabhakar237233@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | gprabhakar237233@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865
10 Medical Park
Suite 104
Wheeling, WV 26003-6389
Phone (304) 242-4800
Hospital & facility affiliations
- Wvuhs Home Care
- Wheeling Hospital, Inc
- Wetzel County Hospital
- Barnesville Hospital Association, Inc
- West Virginia University Hospitals, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Wheeling Hospital Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients | |
| Iowa Heart Center PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients | |
| Morgantown Pulmonary Associates PC | Past | Accepting new patients |
Locations
409 W Oak St
Ste 202
Carbondale, IL 62901
Phone (618) 295-0555
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
300 Davisson Run Rd
Clarksburg, WV 26301
Phone (304) 624-2121
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460
1265 Pineview Dr
Morgantown, WV 26505
Phone (304) 598-1265
705 Garfield Ave
Ste 440
Parkersburg, WV 26101
Phone (304) 424-2098
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
10 Medical Park
Ste 104
Wheeling, WV 26003
Phone (304) 242-4800
10 Medical Park
Ste 300
Wheeling, WV 26003
Phone (304) 242-3900
20 Medical Park
Ste 105
Wheeling, WV 26003
Phone (304) 242-4800
Organizations & group practices 13
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
- Morgantown, WV
- NPI 1275504508
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Pulmonary Disease Physician
- Morgantown, WV
- NPI 1245200989
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Barnesville, OH
- NPI 1235135450
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1841271459
-
- Rural Acute Care Hospital
- New Martinsville, WV
- NPI 1376175240
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1023109444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5880 UNIVERSITY AVE",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668209",
"telephone_number": "515-633-3835",
"fax_number": "515-633-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST",
"address_2": "SUITE 250",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143017",
"telephone_number": "515-235-5000",
"fax_number": "515-288-6713"
}
],
"practiceLocations": [
{
"address_1": "409 W Oak St Ste 202",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011464",
"country_code": "US",
"telephone_number": "618-529-0555",
"fax_number": "618-529-0556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRABHAKAR",
"first_name": "GANGA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036148898",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WV",
"license": "19367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1804141000",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gprabhakar237233@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10 Medical Park",
"city": "Wheeling",
"state": "WV",
"country_code": "US",
"postal_code": "260036389",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gprabhakar237233@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10 Medical Park",
"city": "Wheeling",
"state": "WV",
"country_code": "US",
"postal_code": "260036389",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.