Active NPI
Sanjay Prasad, M.D.
- Otolaryngology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 036176815
- Practice address
- 1253 N Alpine Rd
Rockford, IL 61107-2201 - Phone
- (779) 696-9201
- Fax
- (815) 397-9667
- NPI assigned
- Oct 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 036176815 | IL | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 036176815 | IL | |
| Otology & Neurotology Physician | 207YX0901X | D43688 | MD |
Addresses
Primary practice location
1253 N Alpine Rd
Rockford, IL 61107-2201
Mailing address
10215 Fernwood Rd
Suite 301
Bethesda, MD 20817-1106
Phone (301) 493-9409
Other practice location 1
10215 Fernwood Rd
Suite 301
Bethesda, MD 20817-1106
Phone (301) 493-9409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, MT, VA, IL, WI, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Maryland School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
11705 Berry Rd
Suite 103
Waldorf, MD 20603-5933
Phone (301) 493-9409
124 SW Adams St
Peoria, IL 61602-1308
1253 N Alpine Rd
Sa Brookside Specialty Center
Rockford, IL 61107-2201
Phone (779) 696-9201
15005 Shady Grove Rd
Suite 350
Rockville, MD 20850-6376
Phone (301) 493-9409
1510 N 28TH St
Richmond, VA 23223-5311
2251 N Shore Dr
Rhinelander, WI 54501-6710
2550 Charles St
Rockford, IL 61108-1606
2550 Charles St
Rockford, IL 61108-1673
29980 Network PL
Chicago, IL 60673-1299
330 Seven Springs Way
Brentwood, TN 37027-5098
3416 Valley Brook Rd
Nashville, TN 37215-2021
4600 McAuley PL
Blue Ash, OH 45242-4765
4600 McAuley PL
Suite 600
Blue Ash, OH 45242-4778
5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
8800 State Route 91
Peoria, IL 61615-9473
Phone (309) 683-5000
Hospital & facility affiliations
- Uw Health
- Sidney Health Center
- Saint Francis Medical Center
- Aspirus Rhinelander Hospital
- University of Wi Hospitals & Clinics Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17798 | MD | MD | Clinical Social Worker |
| 036176815 | IL | MD | Otolaryngology Physician |
| D43688 | MD | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Clinic | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Sidney Health Center | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Otolaryngology | Current | Accepting new patients |
| Tower Oaks Surgery Center, LLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Cumberland Valley ENT Consultants | Otolaryngology | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
1253 N Alpine Rd
Rockford, IL 61107
Phone (779) 696-9201
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100
216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401
Interoperability endpoints
- sanjayprasad@spmdpa.allscriptsdirect.net
Organizations & group practices 23
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 Disease Physician
- Richmond, VA
- NPI 1477112225
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Ambulatory Surgical Clinic/Center
- Rockville, MD
- NPI 1750434759
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Neurological Surgery Physician
- Rockford, IL
- NPI 1366672958
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
-
- Rural Health Clinic/Center
- Rhinelander, WI
- NPI 1598420218
Hospital
-
- Clinic/Center
- Plover, WI
- NPI 1053080168
Hospital
-
- Clinic/Center
- Wittenberg, WI
- NPI 1114696507
Hospital
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
Hospital
-
- Clinic/Center
- Stevens Point, WI
- NPI 1306515671
Hospital
-
- Clinic/Center
- Amherst, WI
- NPI 1316616428
Hospital
-
- Clinic/Center
- Rhinelander, WI
- NPI 1316616683
Hospital
-
- Family Medicine Physician
- Stevens Point, WI
- NPI 1336818608
Hospital
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- General Practice Physician
- Rhinelander, WI
- NPI 1548628100
Hospital
-
- Rural Health Clinic/Center
- Tomahawk, WI
- NPI 1558912469
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1437232139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 FERNWOOD RD",
"address_2": "SUITE 301",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171106",
"telephone_number": "301-493-9409",
"fax_number": "301-493-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 N ALPINE RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611072201",
"telephone_number": "779-696-9201",
"fax_number": "815-397-9667"
}
],
"practiceLocations": [
{
"address_1": "10215 Fernwood Rd",
"address_2": "Suite 301",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208171106",
"country_code": "US",
"telephone_number": "301-493-9409",
"fax_number": "301-493-9429",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRASAD",
"first_name": "SANJAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "036176815",
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "IL",
"license": "036176815",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "MD",
"license": "D43688",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.