Active NPI
Indraneel Kumble Prabhu, DO
- Anesthesiology Physician
- Sacramento, CA
National Provider Identifier
1265015606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 20A23883
- Practice address
- 3315 Watt Ave
Sacramento, CA 95821-3600 - Phone
- (916) 481-6800
- Fax
- (916) 481-1881
- NPI assigned
- May 3, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20A23883 | CA | Primary |
Addresses
Primary practice location
3315 Watt Ave
Sacramento, CA 95821-3600
Mailing address
3315 Watt Ave
Sacramento, CA 95821-3600
Phone (916) 481-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRAB-JHRK80 | NC | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- iprabhu726139@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1265015606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 WATT AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958213600",
"telephone_number": "916-481-6800",
"fax_number": "916-481-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 WATT AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958213600",
"telephone_number": "916-481-6800",
"fax_number": "916-481-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRABHU",
"first_name": "INDRANEEL",
"middle_name": "KUMBLE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-03",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A23883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.