Active NPI
Sunil Prem, M.D.
- Internal Medicine Physician
- Monroe, LA
National Provider Identifier
1417038746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L12718R
- Practice address
- 1503 Stubbs Ave
Monroe, LA 71201-5627 - Phone
- (318) 388-0440
- Fax
- (318) 388-0330
- NPI assigned
- Oct 17, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L12718R | LA | Primary |
Addresses
Primary practice location
1503 Stubbs Ave
Monroe, LA 71201-5627
Mailing address
PO Box 7500
Monroe, LA 71211-7500
Phone (318) 388-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1542555 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1503 Stubbs Ave
Monroe, LA 71201-5627
Phone (318) 388-0440
7500 PO Box
Monroe, LA 71211
P O Box
Suite 1238
West Monroe, LA 71294-1238
PO Box
Suite 1238
West Monroe, LA 71294
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L12718R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Medicine and Geratrics Associates | Geriatric Medicine | Current | Accepting new patients |
| Monroe Continuing Care Center L.C. | Past | Accepting new patients | |
| St. Francis Medical Center, Inc. | Past | Accepting new patients | |
| St Francis Specialty Hospital,Inc | Past | Accepting new patients |
Locations
1503 Stubbs Ave
Monroe, LA 71201
Phone (318) 388-0440
Interoperability endpoints
- sprem16449@direct.casso.us.com
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Monroe, LA
- NPI 1861518185
-
dba St Joseph Continuing Care Center
- Skilled Nursing Facility
- Monroe, LA
- NPI 1205461076
-
- Long Term Care Hospital
- Monroe, LA
- NPI 1932154796
-
dba St. Francis Walk In Clinic, Jackson St.
- Primary Care Clinic/Center
- Monroe, LA
- NPI 1437552106
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Medical Center Home Health
- Home Health Agency
- Monroe, LA
- NPI 1295782183
-
- General Acute Care Hospital
- Bastrop, LA
- NPI 1003898313
-
dba St. Joseph Skilled Nursing and Rehabilitation
- Skilled Nursing Facility
- Monroe, LA
- NPI 1134089972
Nursing home
-
- Home Health Agency
- Rayville, LA
- NPI 1386647659
-
dba Southern Acres Care Center
- Skilled Nursing Facility
- Monroe, LA
- NPI 1659380004
Nursing home
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417038746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7500",
"city": "MONROE",
"state": "LA",
"postal_code": "712117500",
"telephone_number": "318-388-0440",
"fax_number": "318-388-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 STUBBS AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "712015627",
"telephone_number": "318-388-0440",
"fax_number": "318-388-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREM",
"first_name": "SUNIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "L12718R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1542555",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
- Penny Goods Powell, CSW
- Sarah Prather, M.A., PLMFT, PLPC
- Mikiyah Donyea' Pratt
- Selena Sullivan Preaus, PHARMD
- Preferred Care Community Health Center
- Premier Chiropractic Specialists LLC
- Premier Hope Orthotic & Prosthetic Enterprises LLC (Hanger Clinic)
- Premier Hospice of Monroe, LLC
- Premier Laboratory Services Oon LLC
- Premier Medical Supply LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.