Individual provider Active NPI

Indu Prasadh, M.D.

  • Pediatrics Physician
  • Albertville, AL
National Provider Identifier
1194164764
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36702 Issued in AL
Practice address
460 Al Highway 75 N
Albertville, AL 35951-3838
Phone
(256) 891-0300
Fax
(256) 891-0300
NPI assigned
Jun 17, 2013
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36702 AL Primary
Pediatrics Physician 208000000X 23272 MS
Pediatrics Physician 208000000X 0101287983 VA
Pediatrics Physician 208000000X 270782 NY

Addresses

Primary practice location

460 Al Highway 75 N
Albertville, AL 35951-3838

Mailing address

460 Al Highway 75 N
Albertville, AL 35951-3838
Phone (256) 891-0300

Other practice location 1

1909 Granby St Ste A
Norfolk, VA 23517-2349
Phone (757) 640-0022

Other identifiers 3

IdentifierTypeStateIssuer
243633MedicaidAL
244557MedicaidAL
02358061MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36702ALMDPediatrics Physician
270782NYMDPediatrics Physician
0101287983VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Start Pediatrics LLC Pediatrics PastSince May 16, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1194164764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 AL HIGHWAY 75 N",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513838",
            "telephone_number": "256-891-0300",
            "fax_number": "256-891-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AL HIGHWAY 75 N",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513838",
            "telephone_number": "256-891-0300",
            "fax_number": "256-891-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Granby St Ste A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235172349",
            "country_code": "US",
            "telephone_number": "757-640-0022",
            "fax_number": "757-627-8064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRASADH",
        "first_name": "INDU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "36702",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "23272",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101287983",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "270782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243633",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244557",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02358061",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.