Individual provider Active NPI

Prithiv Joel Prasad, M.B.B.S.

  • Infectious Disease Physician
  • New York, NY
National Provider Identifier
1093191967
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
294605 Issued in NY
Practice address
530 1St Ave Ste 7F
New York, NY 10016-6402
Phone
(646) 501-9831
Fax
(212) 682-9204
NPI assigned
Aug 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 294605 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X 294605 NY

Addresses

Primary practice location

530 1St Ave Ste 7F
New York, NY 10016-6402

Mailing address

530 1St Ave
New York, NY 10016-6402

Other practice location 1

5504 Old York Road
Albert Einstein Medical Center
philadelphia, PA 19141
Phone (215) 456-6679

Other practice location 2

550 1st Ave
New York, NY 10016
Phone (212) 263-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pprasad256954@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OR2 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
I20200806003202 NY Practitioner - Infectious Disease 4183958390 Reassigns benefits to 1 organization
I20240604001034 OR Practitioner - Infectious Disease 4183958390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 5294623245, 166 clinicians

Practice addresses (Care Compare)

1698 E McAndrews Rd
Suite 160
Medford, OR 97504-5590
Phone (541) 732-6070

Hospital & facility affiliations

  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2024 Accepting new patients
New York University CurrentSince Aug 1, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2024 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2024 Accepting new patients
New York University CurrentSince Aug 1, 2020 Accepting new patients

Locations

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

550 1st Ave
#16S
New York, NY 10016
Phone (212) 263-6400

530 1st Ave
Ste 7F
New York, NY 10016
Phone (212) 263-7344

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

1698 E McAndrews Rd
Ste 160
Medford, OR 97504
Phone (541) 732-6070

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

Interoperability endpoints

  • Direct secure messaging: pprasad3415787@oc.providencedirect.org

Organizations & group practices 7

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 5

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1093191967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 1ST AVE STE 7F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166402",
            "telephone_number": "646-501-9831",
            "fax_number": "212-682-9204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5504 Old York Road",
            "address_2": "Albert Einstein Medical Center",
            "address_purpose": "LOCATION",
            "city": "philadelphia",
            "state": "PA",
            "postal_code": "19141",
            "country_code": "US",
            "telephone_number": "215-456-6679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10016",
            "country_code": "US",
            "telephone_number": "212-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "PRITHIV",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "294605",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "294605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pprasad256954@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "530 1st Ave Ste 7F",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.