Prakash Malkani, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

216425 Issued in MA

Practice address

725 North St
Radiology Department
Pittsfield, MA 01201-4132

Phone

(413) 447-2453

Fax

(413) 447-2441

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lourdes Imaging Associates PAGroup PAC ID 2264480235, 15 clinicians

Atlantic Medical ImagingGroup PAC ID 0345215141, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
• Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Atlantic Medical Imaging

  • Specialist
  • Galloway, NJ
  • NPI 1396771556
  Medicare reassignment Care Compare group NPD
• Lourdes Imaging Associates PA

  • Diagnostic Radiology Physician
  • Camden, NJ
  • NPI 1952330599
  Medicare reassignment Care Compare group NPD
• Advanced Berkshire Medical Imaging, PC

  • Diagnostic Radiology Physician
  • Pittsfield, MA
  • NPI 1588778807

  FL, NJ

  Medicare reassignment Authorized official
• Ami Atlanticare LLC

  • Radiology Clinic/Center
  • Hammonton, NJ
  • NPI 1275762023
  Medicare reassignment NPD
• Radiology Associates of Burlington County P a

  • Diagnostic Radiology Physician
  • Mount Holly, NJ
  • NPI 1255385183
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Virtua Our Lady of Lourdes Hospital Inc

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1235134024
  Care Compare affiliation
• Virtua Willingboro Hospital Inc

  • General Acute Care Hospital
  • Willingboro, NJ
  • NPI 1053316844
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306891890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1243",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012021243",
            "telephone_number": "413-447-2453",
            "fax_number": "413-447-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014132",
            "telephone_number": "413-447-2453",
            "fax_number": "413-447-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKANI",
        "first_name": "PRAKASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "216425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001071",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02410502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Makdisi, M.D.
• Nada Y Makkaoui, M.D.
• Talal Ahmad Makkaoui, MD
• Gregory John Malanoski, M.D.
• Robert W Malinowski, MD
• Shannon Maloney
• Philip F Mamolito, DMD
• Charles Ira Mandel, O.D
• Sheetal Arun Manerkar
• Jawed Manjlai, DDS

• Diagnostic Radiology Physician in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Diagnostic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.