Individual provider Active NPI

Asha S. Prakash, MD

  • Internal Medicine Physician
  • Marion, OH
National Provider Identifier
1184678161
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-082711 Issued in OH
Practice address
1203 Delaware Avenue
VA Clinic Marion Cboc
Marion, OH 43302-6419
Phone
(614) 257-5930
Fax
(614) 257-5922
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-082711 OH Primary

Addresses

Primary practice location

1203 Delaware Avenue
VA Clinic Marion Cboc
Marion, OH 43302-6419

Mailing address

1203 Delaware Avenue
VA Clinic Marion Cboc
Marion, OH 43302-6419
Phone (614) 257-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20131002000663 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7911982681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-082711OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1184678161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 DELAWARE AVENUE",
            "address_2": "VA CLINIC MARION CBOC",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026419",
            "telephone_number": "614-257-5930",
            "fax_number": "614-257-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 DELAWARE AVENUE",
            "address_2": "VA CLINIC MARION CBOC",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026419",
            "telephone_number": "614-257-5930",
            "fax_number": "614-257-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "ASHA",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-082711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.