Active NPI
Prabash Koneru, M.D.
- Internal Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 250331
- Practice address
- 721 Flushing Ave
Brooklyn, NY 11206 - Phone
- (347) 671-7575
- NPI assigned
- Oct 1, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 250331 | NY | Primary |
Addresses
Primary practice location
721 Flushing Ave
Brooklyn, NY 11206
Mailing address
2114 Pacific Blvd
Atlantic Beach, NY 11509
Phone (347) 276-8866
Other practice location 1
800 Poly Pl
Brooklyn, NY 11209-7104
Phone (718) 836-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17121 Jamaica Ave
Jamaica, NY 11432-5427
Phone (718) 521-4442
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeway Psychiatry PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Brooklyn United Methodist Church Home | Past | Accepting new patients |
Locations
9225 Kennedy Blvd
#F
North Bergen, NJ 07047
Phone (201) 500-9755
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- pkoneru1053771@nychhc.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1952830937
-
- Psychiatry Physician
- North Bergen, NJ
- NPI 1831819531
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1164536660
-
dba Kings County Hospital Center
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1164536660
Nursing home
-
dba Kings County Hospital Center
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530662400000",
"number": "1033306204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 PACIFIC BLVD",
"city": "ATLANTIC BEACH",
"state": "NY",
"postal_code": "11509",
"telephone_number": "347-276-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 FLUSHING AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "347-671-7575"
}
],
"practiceLocations": [
{
"address_1": "800 Poly Pl",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112097104",
"country_code": "US",
"telephone_number": "718-836-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONERU",
"first_name": "PRABASH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-01",
"last_updated": "2018-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "250331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.