Renu B Prakash, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

159456 Issued in MA

Practice address

235 N Pearl St
Brockton, MA 02301-1794

Phone

(617) 789-3000

NPI assigned

Sep 20, 2005

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Old Colony Hospice, Inc Hospice, W Bridgewater, MA, CCN 221514
• Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rprakash257563@direct.bmc.masshiway.net

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.

• BMC Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1245320910
  Medicare reassignment Care Compare group NPD
• Sound Physicians of Massachusetts II PC

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1306376397
  Medicare reassignment NPD
• Sound Physicians of Massachusetts Inc

  dba Sound Physicians

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1740678408
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment
• Sound Physicians of Massachusetts, Inc

  • Internal Medicine Physician
  • Holyoke, MA
  • NPI 1184178386
  NPD
• Sound Physicians of Massachusetts, Inc

  • Internal Medicine Physician
  • Stoughton, MA
  • NPI 1245784446
  NPD
• Boston Medical Center - South Corporation

  dba Boston Medical Center - South

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  NPD (past)
• Steward Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1881906337
  NPD (past)

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

• Boston Medical Center - South Corporation

  dba Boston Medical Center - South

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  Care Compare affiliation
• Old Colony Hospice Inc

  • Family Nurse Practitioner
  • W Bridgewater, MA
  • NPI 1144330002

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1033104674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690",
            "telephone_number": "617-414-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N PEARL ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011794",
            "telephone_number": "617-789-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Grand St",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MA",
            "postal_code": "020211836",
            "country_code": "US",
            "telephone_number": "781-821-0194",
            "fax_number": "781-821-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "RENU",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "159456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP #0034731",
            "identifier": "S400105532",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190935",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP #003473101",
            "identifier": "S400105529",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melisa Anne Poulos, M.D.
• Angie Powers
• Kellie Powers
• Mamatha Prabhakara, M.D.
• Pratik S Pradhan, M.D.
• Amit B Prasad, MD
• Jill Pratt
• Maria Zofia Pratt
• Joan Pratti
• Denise Marie Prefontaine, RN BS LMHC

• Internal Medicine Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.

Verify at the official NPI Registry.