Active NPI
Prakash Harikrishnan
- Cardiovascular Disease Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2022-02563
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-02563 | NC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Novant Health Ballantyne Medical Center LLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Specialist
- Winston-Salem, NC
- NPI 1003867516
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Specialist
- Thomasville, NC
- NPI 1033160205
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Specialist
- Winston-Salem, NC
- NPI 1154371052
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- General Acute Care Hospital
- Winston-Salem, NC
- NPI 1538111828
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Jefferson, NC
- NPI 1376671370
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
-
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
-
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.