Anil S Prasad, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301087082 Issued in MI

Practice address

10501 Telegraph Rd
Suite #101
Taylor, MI 48180-3375

Phone

(313) 295-7200

Fax

(313) 295-0009

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1376667337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 BREEZE BAY DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608986",
            "telephone_number": "419-882-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 TELEGRAPH RD",
            "address_2": "SUITE #101",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803375",
            "telephone_number": "313-295-7200",
            "fax_number": "313-295-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "ANIL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301087082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Pomerleau
• Tanya Pompa, FNP-BC
• Kristi A Pomranka, PHARM D
• Tamara Pope
• Pradeep G. Prabhu, M.D.
• Grant James Prenzler, MA, LPC, ATR
• Stephanie Preston, LLMSW
• Preventative Primary Care
• Preventative Therapy, LLC
• Primecare Physical Therapy and Rehab, Inc

• General Practice Physician in Taylor, MI
• Providers in Taylor, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.

Verify at the official NPI Registry.