Organization Active NPI

Sheela Prahalad M.D. PC

  • Internal Medicine Physician
  • Clarks Summit, PA
National Provider Identifier
1457679102
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD038374E Issued in PA
Legal business name
SHEELA PRAHALAD M.D. PC
Practice address
319 N State St
Clarks Summit, PA 18411-1059
Phone
(570) 586-6087
Fax
(570) 586-6072
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Sheela Prahalad, M.D.NPI 1487687752
Title
President
Phone
(570) 586-6087

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD038374E PA Primary

Addresses

Primary practice location

319 N State St
Clarks Summit, PA 18411-1059

Mailing address

319 N State St
Clarks Summit, PA 18411-1059
Phone (570) 586-6087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100517000826 PA Part B Supplier - Clinic/Group Practice 4486782141 Receives reassigned benefits from 1 practitioner
Practice locations: Clarks Summit, PA

National Provider Directory

National Provider Directory

Locations

319 N State St
Clarks Summit, PA 18411
Phone (570) 586-0841

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1457679102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111059",
            "telephone_number": "570-586-6087",
            "fax_number": "570-586-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111059",
            "telephone_number": "570-586-6087",
            "fax_number": "570-586-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEELA PRAHALAD M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "PRAHALAD",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-586-6087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD038374E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.