Renuka N Prasad, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

010131374 Issued in VA

Practice address

212 S Main St
Suite 3
Danville, VA 24541-2924

Phone

(434) 799-9020

Fax

(434) 799-3451

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1124087820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412924",
            "telephone_number": "434-799-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412924",
            "telephone_number": "434-799-9020",
            "fax_number": "434-799-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "RENUKA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "010131374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007191103",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Postell, D.O., M.B.A.
• Stephanie Pounds
• Sarah Powell
• Clark Alfred Powers, CRNA
• Pradeep K Pradhan, MD
• Robert Anthony Pratt, RPH
• Precious Nursing LLC
• Premier Aesthetics
• Premier Mental Health Support
• Premier Options, LLC

• Psychiatry Physician in Danville, VA
• Providers in Danville, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.