Active NPI
Prasad V Podila, MD
- Gastroenterology Physician
- Las Cruces, NM
National Provider Identifier
1225083454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 98-136
- Practice address
- 4381 E Lohman Ave Ste B
Las Cruces, NM 88011-8255 - Phone
- (575) 522-7697
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 98-136 | NM | Primary |
Addresses
Primary practice location
4381 E Lohman Ave Ste B
Las Cruces, NM 88011-8255
Mailing address
4381 E Lohman Ave Ste B
Las Cruces, NM 88011-8255
Phone (575) 522-7697
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
| License | State | Type | Specialty |
|---|---|---|---|
| 98-136 | NM | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1225083454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4381 E LOHMAN AVE STE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118255",
"telephone_number": "575-522-7697",
"fax_number": "575-522-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4381 E LOHMAN AVE STE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118255",
"telephone_number": "575-522-7697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODILA",
"first_name": "PRASAD",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NM",
"license": "98-136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.