Suresh Prasad MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K8430 Issued in TX

Legal business name

SURESH PRASAD MD PA

Practice address

601 E 2ND Suite a
Odessa, TX 79761

Phone

(432) 332-3400

Fax

(432) 332-6500

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Suresh Prasad, MDNPI 1053419572

Title

Physician

Phone

(432) 332-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Permian Internal Medicine Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9460/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suresh Prasad, MD

  • Internal Medicine Physician
  • Odessa, TX
  • NPI 1053419572
  Medicare reassignment Care Compare group NPD Authorized official
• Danielle Gilpin, MSN, APRN- FNP-C

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1568295582
  Medicare reassignment Care Compare group NPD
• Kalpana K Prasad, MD

  • Internal Medicine Physician
  • Odessa, TX
  • NPI 1336247857
  Medicare reassignment Care Compare group NPD
• Grace Castillo Andrade, PA-C

  • Physician Assistant
  • Odessa, TX
  • NPI 1285153221
  Medicare reassignment Care Compare group
• Roxana Nieto

  • Medical Physician Assistant
  • Odessa, TX
  • NPI 1265083869
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1114012283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4147",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79760",
            "telephone_number": "432-332-3400",
            "fax_number": "432-332-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 2ND SUITE A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79761",
            "telephone_number": "432-332-3400",
            "fax_number": "432-332-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH PRASAD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "432-332-3400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0078LW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Permian Internal Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Superior Ambulance
• Devi Priya Suravajjala, MD
• Suresh N Gadasalli M D P a
• Suresh N. Gadasalli,M.D.,P.a.
• Suresh N. Gadasalli,M.D.,P.a.
• Oam Suriyamont, PHARMD
• Susan Van de Water, MD, PA
• Sushruta Surgical Associates PLLC
• Douglas Swiney, CRNA
• John Swope, PA-C

• Internal Medicine Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.