Individual provider Active NPI

Derek Prabharasuth, MD

  • Urology Physician
  • Pembroke Pines, FL
National Provider Identifier
1164846986
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME122730 Issued in FL
Practice address
601 N Flamingo Rd Ste 401
Pembroke Pines, FL 33028-1011
Phone
(305) 682-2580
NPI assigned
Feb 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME122730 FL Primary
Urology Physician 208800000X 60 255424 NY
Urology Physician 208800000X 74307 GA

Addresses

Primary practice location

601 N Flamingo Rd Ste 401
Pembroke Pines, FL 33028-1011

Mailing address

2900 Corporate Way # D
Miramar, FL 33025-3925

Other practice location 1

1150 N 35th Ave Ste 670
Hollywood, FL 33021-5435
Phone (305) 682-2580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141010000981 CA Practitioner - Urology 0941420129 Reassigns benefits to 1 organization
I20260506000409 IN Practitioner - Urology 0941420129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

5165 McCarty LN
Lafayette, IN 47905-8764
Phone (888) 484-3258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME122730FLMDUrology Physician
74307GAMDUrology Physician
01099585AINMDUrology Physician
60 255424NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Foundation Urology CurrentSince Jul 1, 2014 Accepting new patients
Aventura Healthcare Specialists, LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

1333 S Mayflower Ave
Fl 2
Monrovia, CA 91016
Phone (626) 775-3514

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

11760 SW 40th St
Ste 403
Miami, FL 33175
Phone (305) 226-2020

11880 SW 40th St
Ste 101
Miami, FL 33175
Phone (305) 485-4677

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3661 S Miami Ave
Ste 301
Miami, FL 33133
Phone (305) 285-2787

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: derek.prabharasuth@hca4.eclinicaldirectplus.com
  • Direct secure messaging: derek.prabharasuth@au.gadirect.net
  • Direct secure messaging: dprabharasuth@direct.iuhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1164846986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY # D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD STE 401",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281011",
            "telephone_number": "305-682-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N 35th Ave Ste 670",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330215435",
            "country_code": "US",
            "telephone_number": "305-682-2580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRABHARASUTH",
        "first_name": "DEREK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME122730",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "60 255424",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "74307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.