Active NPI
Sanjana Prabhu
- Pediatrics Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01099766A
- Practice address
- 5317 E 16TH St
Indianapolis, IN 46218-4897 - Phone
- (463) 232-7158
- NPI assigned
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01099766A | IN | Primary |
Addresses
Primary practice location
5317 E 16TH St
Indianapolis, IN 46218-4897
Mailing address
5317 E 16TH St
Indianapolis, IN 46218-4897
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Pediatrics | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Past | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
4501 Cameron Valley Pkwy
Ste 200B
Charlotte, NC 28211
Phone (704) 381-0500
1085 NE Gateway Ct NE
Ste 290
Concord, NC 28025
Phone (704) 403-4650
9625 Northcross Center Ct
Huntersville, NC 28078
Phone (704) 801-3450
Interoperability endpoints
- sprabhu2939805@carolinashealthcaresystem.direct-ci.com
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Obstetrics & Gynecology Physician
- Shelby, NC
- NPI 1649611823
-
- Pediatrics Physician
- Concord, NC
- NPI 1588091904
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
-
- Hematology & Oncology Physician
- Charlotte, NC
- NPI 1033489687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1124604616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5317 E 16TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462184897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 E 16TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462184897",
"telephone_number": "463-232-7158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRABHU",
"first_name": "SANJANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01099766A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.