Individual provider Active NPI

Soumya Prasad, M.D.

  • Pediatrics Physician
  • Morgantown, WV
National Provider Identifier
1447242722
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21441 Issued in WV
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

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PR1746583OtherPAHIGHMARK 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019003162 WV Practitioner - Pediatric Medicine 2264477124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21441WVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.