Organization Active NPI

Sudha Prasad M.D.S.C.

  • Allergy Physician
  • Springfield, IL
National Provider Identifier
1235186958
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
SUDHA PRASAD M.D.S.C.
Practice address
901 S Koke Mill Rd
Springfield, IL 62711-8012
Phone
(214) 546-4868
Fax
(217) 698-9286
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Sudha G Prasad, M.D.
Title
Doctor
Phone
(217) 546-4868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X IL Primary

Addresses

Primary practice location

901 S Koke Mill Rd
Springfield, IL 62711-8012

Mailing address

901 S Koke Mill Rd
Springfield, IL 62711-8012
Phone (217) 546-4868

Other identifiers 4

IdentifierTypeStateIssuer
028472OtherILHEALTH ALLIANCE
08405082OtherILBLUECROSS BLUESHIELD
114404OtherILGHP
131837OtherILHEALTHLINK

National Provider Directory

National Provider Directory

Locations

901 S Koke Mill Rd
Springfield, IL 62711
Phone (217) 361-8746

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1235186958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S KOKE MILL RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627118012",
            "telephone_number": "217-546-4868",
            "fax_number": "217-698-9286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S KOKE MILL RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627118012",
            "telephone_number": "214-546-4868",
            "fax_number": "217-698-9286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHA PRASAD M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "217-546-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "028472",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "08405082",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "114404",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "131837",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.