Samantha Prabakaran, MD

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

0116034573 Issued in VA

Practice address

7901 Acc Blvd Ste 200
Raleigh, NC 27617-4730

Phone

(919) 861-4494

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Univ of Central Florida, College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Century Ophthalmology PCGroup PAC ID 2365578960, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Granville Health Systems Hospital, Oxford, NC, CCN 340127

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Century Ophthalmology, PC

  • Ophthalmology Physician
  • Oxford, NC
  • NPI 1285644500
  Medicare reassignment Care Compare group NPD
• Blue Ridge Day Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Raleigh, NC
  • NPI 1073578019
  NPD
• New Century Ophthalmology Group, PLLC

  • Ophthalmology Physician
  • Raleigh, NC
  • NPI 1487985248
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Granville Health System

  • General Acute Care Hospital
  • Oxford, NC
  • NPI 1326061730
  Care Compare affiliation

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1164047122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 ACC BLVD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 ACC BLVD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174730",
            "telephone_number": "919-861-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABAKARAN",
        "first_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0116034573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Powers
• Mackenzie Elizabeth Powers, ACNP
• Sarah Hope Powers, RBT
• Claire Marie Poyet, M.D.
• Mason Andrew Poythress, LCMHCA
• Josie D Prabhakar, PA-C
• Practice Women'S Health and Physical Therapy
• Kathryn Rudisill Prafka, RD/LDN, CDE
• David A Prahl III
• Ankur Prakash, D.C.

• Ophthalmic Plastic and Reconstructive Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.

Verify at the official NPI Registry.