Active NPI
Soumya Prasad, M.D.
- Pediatrics Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21441
- Practice address
- Candor Care, PLLC
364 Patteson Dr. #505
Morgantown, WV 26505 - Phone
- (304) 316-6981
- Fax
- (304) 820-0805
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21441 | WV | Primary |
Addresses
Primary practice location
Candor Care, PLLC
364 Patteson Dr. #505
Morgantown, WV 26505
Mailing address
Candor Care, PLLC
364 Patteson Dr. #505
Morgantown, WV 26505
Phone (304) 316-6981
Other practice location 1
1710 Harper Rd
Beckley, WV 25801-3357
Phone (304) 256-4100
Other practice location 2
140 N Beeson Ave
Uniontown, PA 15401-2937
Phone (724) 439-1628 ext. 275
Other practice location 3
800 Garfield Ave
Parkersburg, WV 26101-5340
Phone (304) 424-2111
Other practice location 4
1325 Locust Ave
Fairmont, WV 26554-1435
Phone (855) 988-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR1746583 | Other | PA | HIGHMARK BLUE S HIELD NUM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171019003162 | WV | Practitioner - Pediatric Medicine | 2264477124 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21441 | WV | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Care, Inc | Past | Accepting new patients | |
| Community Action Medical Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Community Medical Services
- Federally Qualified Health Center (FQHC)
- Uniontown, PA
- NPI 1386670453
-
dba Cornerstone Care Community Health Center of Uniontown-Medical
- Federally Qualified Health Center (FQHC)
- Uniontown, PA
- NPI 1144526419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1447242722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CANDOR CARE, PLLC",
"address_2": "364 PATTESON DR. #505",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-316-6981",
"fax_number": "304-820-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CANDOR CARE, PLLC",
"address_2": "364 PATTESON DR. #505",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-316-6981",
"fax_number": "304-820-0805"
}
],
"practiceLocations": [
{
"address_1": "1710 Harper Rd",
"address_purpose": "LOCATION",
"city": "Beckley",
"state": "WV",
"postal_code": "258013357",
"country_code": "US",
"telephone_number": "304-256-4100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 N Beeson Ave",
"address_purpose": "LOCATION",
"city": "Uniontown",
"state": "PA",
"postal_code": "154012937",
"country_code": "US",
"telephone_number": "724-439-1628 x275",
"fax_number": "724-439-0171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Garfield Ave",
"address_purpose": "LOCATION",
"city": "Parkersburg",
"state": "WV",
"postal_code": "261015340",
"country_code": "US",
"telephone_number": "304-424-2111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1325 Locust Ave",
"address_purpose": "LOCATION",
"city": "Fairmont",
"state": "WV",
"postal_code": "265541435",
"country_code": "US",
"telephone_number": "855-988-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRASAD",
"first_name": "SOUMYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "21441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE S HIELD NUM",
"identifier": "PR1746583",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.