Individual provider Active NPI

Prabhtej Singh Brara, M.D.

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1215917752
Registry record updated Jan 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A062470 Issued in CA
Practice address
1301 20TH St Ste 590
Santa Monica, CA 90404-2054
Phone
(310) 315-0101
Fax
(310) 453-4145
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A062470 CA Primary

Addresses

Primary practice location

1301 20TH St Ste 590
Santa Monica, CA 90404-2054

Mailing address

1301 20TH St Ste 590
Santa Monica, CA 90404-2054
Phone (310) 315-0101

Other identifiers 3

IdentifierTypeStateIssuer
00A624700OtherCABC/BS
00A624700MedicaidCA
952976030OtherCAGROUP TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040622001569 CA Practitioner - Cardiovascular Disease (Cardiology) 8224013321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiology Consultants of Santa Monica IncGroup PAC ID 9234189382, 3 clinicians

Practice addresses (Care Compare)

99 N la Cienega Blvd
Suite 103
Beverly Hills, CA 90211-2285
Phone (310) 623-1150

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
88.73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting30
Varicose vein removal39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A062470CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants of Santa Monica Inc Specialist CurrentSince Jul 1, 2006 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

99 N La Cienega Blvd
Ste 103
Beverly Hills, CA 90211
Phone (310) 315-0101

1301 20th St
Ste 590
Santa Monica, CA 90404
Phone (310) 315-0101

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: prabhtej.brara@582581168111620.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264896000000",
    "number": "1215917752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 590",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042054",
            "telephone_number": "310-315-0101",
            "fax_number": "310-453-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 590",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042054",
            "telephone_number": "310-315-0101",
            "fax_number": "310-453-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRARA",
        "first_name": "PRABHTEJ",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A062470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00A624700",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A624700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID",
            "identifier": "952976030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.