Individual provider Active NPI

Sanjay Prasad, M.D.

  • Otolaryngology Physician
  • Rockford, IL
National Provider Identifier
1437232139
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036176815 Issued in IL
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

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20080213000749 DC Practitioner - Otolaryngology 9931282902 Reassigns benefits to 1 organization
I20170104000844 MD Practitioner - Otolaryngology 9931282902 Reassigns benefits to 1 organization
I20250512003168 MT Practitioner - Otolaryngology 9931282902 Reassigns benefits to 1 organization
I20251103001653 VA Practitioner - Otolaryngology 9931282902 Reassigns benefits to 1 organization
I20251125002328 IL Practitioner - Otolaryngology 9931282902 Reassigns benefits to 2 organizations
I20260219000721 WI Practitioner - Otolaryngology 9931282902 Reassigns benefits to 2 organizations
I20260605003897 PA Practitioner - Otolaryngology 9931282902

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
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians
Bon Secours Medical Group Richmond Specialty Care LLCGroup PAC ID 8022440056, 350 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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 Hospital, Rockford, IL, CCN 140228
  • Sidney Health Center Hospital, Sidney, MT, CCN 271344
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
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

LicenseStateTypeSpecialty
17798MDMDClinical Social Worker
036176815ILMDOtolaryngology Physician
D43688MDMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Oct 6, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Sidney Health Center Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Swedishamerican Hospital CurrentSince Nov 10, 2025 Accepting new patients
Sidney Health Center CurrentSince May 21, 2025 Accepting new patients
Billings Clinic CurrentSince May 2, 2025 Accepting new patients
Sidney Health Center CurrentSince May 21, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Oct 6, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Billings Clinic CurrentSince May 2, 2025 Accepting new patients
Sidney Health Center Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Swedishamerican Hospital CurrentSince Nov 10, 2025 Accepting new patients
Swedishamerican Hospital Otolaryngology Current Accepting new patients
Tower Oaks Surgery Center, LLC PastSince Nov 14, 2007 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cumberland Valley ENT Consultants Otolaryngology PastSince Oct 1, 2017 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

  • Direct secure messaging: 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.

View all 23

Hospital & facility affiliations 19

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

View all 19

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

Verify at the official NPI Registry.