Active NPI
Prasad Jogu, M.D.
- Hospitalist Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- C153206
- Practice address
- 1 Medical Plaza Dr
Roseville, CA 95661-3037 - Phone
- (916) 781-1927
- Fax
- (916) 781-1787
- NPI assigned
- Feb 26, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 270736 | NY | |
| Hospitalist Physician | 208M00000X | 270736 | NY | |
| Hospitalist Physician | 208M00000X | C153206 | CA | Primary |
| Internal Medicine Physician | 207R00000X | C153295 | CA |
Addresses
Primary practice location
1 Medical Plaza Dr
Roseville, CA 95661-3037
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 972-5547
Other practice location 1
33-57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03623058 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
2 Medical Plaza Dr
Roseville, CA 95661-3042
2800 L St
Sacramento, CA 95816-5616
2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600
Hospital & facility affiliations
- Sutter Roseville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C153295 | CA | MD | Internal Medicine Physician |
| C153206 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
Interoperability endpoints
- pjogu388029@hisp.ehr.sutterhealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104123165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-972-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PLAZA DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613037",
"telephone_number": "916-781-1927",
"fax_number": "916-781-1787"
}
],
"practiceLocations": [
{
"address_1": "33-57 Harrison St",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "NY",
"postal_code": "137902107",
"country_code": "US",
"telephone_number": "607-763-6622",
"fax_number": "607-763-5064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOGU",
"first_name": "PRASAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "270736",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "270736",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "C153206",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C153295",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03623058",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.