Satish M Prabhu, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

9608 Issued in SC

Practice address

240 Stoneridge Dr
Suite 304
Columbia, SC 29210-8013

Phone

(803) 708-8126

Fax

(803) 708-1370

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cardiovascular Ansthesia, LLC

  • Anesthesiology Physician
  • Columbia, SC
  • NPI 1497726160
  NPD (past)
• Pain Management, LLC

  • Interventional Pain Medicine Physician
  • Mt Pleasant, SC
  • NPI 1104914076
  NPD (past)
• Palmetto Health Alliance

  • Interventional Pain Medicine Physician
  • Columbia, SC
  • NPI 1265527097
  NPD (past)
• Shenandoah Anesthesia & Research Services , PLLC

  • Anesthesiology Physician
  • Culpeper, VA
  • NPI 1306466123
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1366522328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3387",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217053387",
            "telephone_number": "888-276-1910",
            "fax_number": "803-708-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 STONERIDGE DR",
            "address_2": "SUITE 304",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292108013",
            "telephone_number": "803-708-8126",
            "fax_number": "803-708-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHU",
        "first_name": "SATISH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "9608",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "SC",
            "license": "9608",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "9608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "430011027",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "77866",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4132337",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096087",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "096087",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCP",
            "identifier": "2000256",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Harper Powers, DPT
• Phyllis C Poyner, N.P.
• PPCP Specialty Physicians , LLC
• Shavon Chameri Prabhakar, FNP
• Prakash N Prabhu, MD
• Sasya Pradhan, MD
• Bala Prakash, M.D.
• Katelyn Prakash, DC
• Jairaj Prashad, MD
• Kisha Prater, APRN

• Anesthesiology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.