Active NPI
Derek Prabharasuth, MD
- Urology Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME122730
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME122730 | FL | MD | Urology Physician |
| 74307 | GA | MD | Urology Physician |
| 01099585A | IN | MD | Urology Physician |
| 60 255424 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Foundation | Urology | Current | Accepting new patients |
| Aventura Healthcare Specialists, LLC | Current | 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
- derek.prabharasuth@hca4.eclinicaldirectplus.com
- derek.prabharasuth@au.gadirect.net
- 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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
dba City of Hope Duarte
- Hematology & Oncology Physician
- Duarte, CA
- NPI 1871886366
Urology
-
- Hematology & Oncology Physician
- Aventura, FL
- NPI 1528203114
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Kendall Hospital
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
-
dba IU Health Arnett Hospital
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- 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.