Individual provider Active NPI

Vinay Prasad, MD

  • Pediatric Pathology Physician
  • Nashville, TN
National Provider Identifier
1053411694
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pathology PhysicianTaxonomy code 207ZP0213X
License
55418 Issued in TN
Practice address
C-3322 Medical Ctr N
Nashville, TN 37232-2561
Phone
(615) 322-3234
Fax
(615) 322-5551
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pathology Physician 207ZP0213X E-4800 AR
Pediatric Pathology Physician 207ZP0213X 55418 TN Primary
Pediatric Pathology Physician 207ZP0213X 35.090576 OH

Addresses

Primary practice location

C-3322 Medical Ctr N
Nashville, TN 37232-2561

Mailing address

Vanderbilt Medical Ctr
C-3322 Medical Ctr N
Nashville, TN 37232-2561
Phone (615) 322-3234

Other identifiers 2

IdentifierTypeStateIssuer
E4800OtherARTRICARE
162844001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080508000109 OH Practitioner - Pediatric MedicinePractitioner - Pathology 5294769907 Reassigns benefits to 1 organization
I20190605002487 FL Practitioner - Pathology 5294769907 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.090576OHMDPediatric Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Regional Laboratories Pathology Services, LLC CurrentSince Jun 24, 2019 Accepting new patients
Pediatric Pathology Associates of Columbus Inc CurrentSince Jun 18, 2007 Accepting new patients
Vanderbilt University PastSince Jun 1, 2017 Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

700 Childrens Dr
#D651
Columbus, OH 43205
Phone (614) 722-5315

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1053411694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VANDERBILT MEDICAL CTR",
            "address_2": "C-3322 MEDICAL CTR N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322561",
            "telephone_number": "615-322-3234",
            "fax_number": "615-322-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C-3322 MEDICAL CTR N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322561",
            "telephone_number": "615-322-3234",
            "fax_number": "615-322-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "VINAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "AR",
            "license": "E-4800",
            "primary": false
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "TN",
            "license": "55418",
            "primary": true
        },
        {
            "code": "207ZP0213X",
            "taxonomy_group": "",
            "desc": "Pathology, Pediatric Pathology",
            "state": "OH",
            "license": "35.090576",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "E4800",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162844001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.