Individual provider Active NPI

Prakash Harikrishnan

  • Cardiovascular Disease Physician
  • Winston Salem, NC
National Provider Identifier
1053687954
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2022-02563 Issued in NC
Practice address
186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone
(336) 277-2000
Fax
(336) 277-2050
NPI assigned
Mar 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 82536 GA
Cardiovascular Disease Physician 207RC0000X 2022-02563 NC Primary

Addresses

Primary practice location

186 Kimel Park Dr
Winston Salem, NC 27103-6946

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 277-2000

Other practice location 1

1120 15th St
Augusta, GA 30912
Phone (706) 721-8623

Other practice location 2

100 Woods Rd
Westchester Medical Center
Valhalla, NY 10595-1530
Phone (215) 847-0716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 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
I20190613003357 GA Practitioner - Cardiovascular Disease (Cardiology) 2668723529 Reassigns benefits to 1 organization
I20221208000817 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668723529 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Medical Park Hospital LLCGroup PAC ID 4880595958, 109 clinicians

Practice addresses (Care Compare)

1226 Eastchester Dr
Suite 100
High Point, NC 27265-3116
Phone (336) 481-8540

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000

1950 S Hawthorne Rd
Winston Salem, NC 27103-3912
Phone (336) 718-0600

3515 W Market St
Suite 110
Greensboro, NC 27403-4439
Phone (336) 660-5220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02563NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Dec 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Dec 1, 2022 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2019 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 9, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Dec 1, 2022 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Jan 1, 2023 Accepting new patients
Medical Park Hospital LLC CurrentSince Jan 1, 2023 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Dec 1, 2022 Accepting new patients
The Presbyterian Hospital CurrentSince Dec 8, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2022 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Jan 1, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Dec 8, 2023 Accepting new patients
Medical Park Hospital LLC CurrentSince Jan 1, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

7114 Village Medical Cir
Clemmons, NC 27012
Phone (336) 893-2440

3515 W Market St
Ste 110
Greensboro, NC 27403
Phone (336) 299-0099

1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1710 Kernersville Medical Pkwy
Ste 205
Kernersville, NC 27284
Phone (336) 983-4500

144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

185 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

725 Highland Oaks Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 277-2620

114 W 30th St
Ste 800
Winston Salem, NC 27105
Phone (336) 277-2000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

2025 Frontis Plaza Blvd
Ste 100
Winston Salem, NC 27103
Phone (336) 718-6199

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

Interoperability endpoints

  • Direct secure messaging: pharikrishnan1099188@direct.novanthealth.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 10

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1053687954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30912",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Woods Rd",
            "address_2": "Westchester Medical Center",
            "address_purpose": "LOCATION",
            "city": "Valhalla",
            "state": "NY",
            "postal_code": "105951530",
            "country_code": "US",
            "telephone_number": "215-847-0716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARIKRISHNAN",
        "first_name": "PRAKASH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "82536",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2022-02563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.