Pranav Prakash, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD229125 Issued in OR

Practice address

1077 Gateway Loop
Springfield, OR 97477-1114

Phone

(541) 485-6478

Fax

(541) 868-9606

NPI assigned

May 25, 2021

Reactivated

Feb 7, 2023

Last updated

Jul 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nephrology

Education

University of Texas Southwestern Medical School at Dallas, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eugene Springfield Nephrology Associates PCGroup PAC ID 7517951841, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pranav.prakash@hca5.eclinicaldirectplus.com

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.

• Eugene Springfield Nephrology Associates, PC

  • Nephrology Physician
  • Springfield, OR
  • NPI 1073534004
  Medicare reassignment Care Compare group
• Gainesville Physicians LLC

  • Family Medicine Physician
  • Gainesville, FL
  • NPI 1992946461
  NPD (past)

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1275108953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-485-6478",
            "fax_number": "541-868-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-485-6478",
            "fax_number": "541-868-9606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd Stop 7200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907200",
            "country_code": "US",
            "telephone_number": "214-648-3433",
            "fax_number": "352-331-9562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "PRANAV",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "deactivation_date": "2022-11-14",
        "reactivation_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN33916",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD229125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Erin Powers
• Daniel Poyuzina, QMHP
• PPC Group LLC (Prevention Plus Clinic)
• Eva Pradhan, M.D.
• Hilary Prager, CNM
• Praxis Health, PC (Thurston Medical Clinic)
• Premere Rehab LLC (Infinity Rehab)
• Premere Rehab LLC (Infinity Rehab)
• Aaron Nelson Wolfgang Pribil, PA
• Leslie Ann Prieto

• Nephrology Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Nephrology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.