NPIMap

Individual provider Active NPI

Indhu Meera Prabhakaran, DO

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1043672264
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS019916 Issued in PA
Practice address
2100 W Cambria St
Philadelphia, PA 19132-2668
Phone
(215) 578-3300
NPI assigned
Mar 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS019916 PA Primary

Addresses

Primary practice location

2100 W Cambria St
Philadelphia, PA 19132-2668

Mailing address

2100 W Cambria St
Philadelphia, PA 19132-2668
Phone (215) 578-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190528001913 PA Practitioner - Family Practice 6608168760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inhospital Physicians CorpGroup PAC ID 3779888110, 24 clinicians
Temple Physicians IncGroup PAC ID 2062317233, 154 clinicians

Practice addresses (Care Compare)

2701 Dekalb Pike
East Norriton, PA 19401-1820
Phone (484) 965-9566

7600 Central Ave
Philadelphia, PA 19111-2499
Phone (215) 728-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.51 of 100Reported as group
Quality
65.57
Promoting interoperability
100
Improvement activities
40
Cost
77.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc. CurrentSince Apr 1, 2022 Accepting new patients
Inhospital Physicians Corp CurrentSince Jul 1, 2019 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Apr 1, 2022 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Apr 1, 2022 Accepting new patients
Temple Physicians Inc Family Medicine Current Accepting new patients
Temple Physician Inc. CurrentSince Apr 1, 2022 Accepting new patients
Temple University Hospital, Inc Past Accepting new patients
Temple University Hospital, Inc Past Accepting new patients

Locations

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

Interoperability endpoints

  • Direct secure messaging: indhu.prabhakaran@direct.pcom.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1043672264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CAMBRIA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322668",
            "telephone_number": "215-578-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CAMBRIA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322668",
            "telephone_number": "215-578-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHAKARAN",
        "first_name": "INDHU",
        "middle_name": "MEERA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.