Active NPI
Kumar Gaurav Prasad, MD
- Otolaryngology Physician
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2015009389
- Practice address
- 9411 N Oak Trfy
Suite 202
Kansas City, MO 64155-2233 - Phone
- (816) 468-8820
- Fax
- (816) 468-8898
- NPI assigned
- Jun 30, 2009
- Last updated
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2015009389 | MO | Primary |
| Otolaryngology Physician | 207Y00000X | 01073660A | IN |
Addresses
Primary practice location
9411 N Oak Trfy
Suite 202
Kansas City, MO 64155-2233
Mailing address
2700 Clay Edwards Dr
Suite 240
North Kansas City, MO 64116-3251
Phone (816) 691-5287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201232130 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Saint Louis University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10021 Dupont Circle CT
Fort Wayne, IN 46825-1604
Phone (260) 426-8117
Hospital & facility affiliations
- Parkview Regional Medical Center
- Lutheran Hospital of Indiana
- Cameron Health
- Adams Memorial Hospital
- Parkview Wabash Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.15 of 100
- Quality
- 74.82
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear, Nose & Throat Associates, PC | Otolaryngology | Current | Accepting new patients |
| Meritas Health Corporation | Past | Accepting new patients | |
| The Hearing Center LLC | Past | Accepting new patients |
Locations
424 Williams St
Angola, IN 46703
Phone (260) 665-2926
1169 N Main St
Ste 5
Bluffton, IN 46714
Phone (260) 827-4368
10021 DuPont Circle Ct
Fort Wayne, IN 46825
Phone (219) 426-8117
5411 Meijer Dr
Fort Wayne, IN 46835
Phone (260) 469-6919
7926 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 459-6924
2003 Stults Rd
Ste 220
Huntington, IN 46750
Phone (260) 463-2133
2814 Theater Ave
Huntington, IN 46750
Phone (260) 356-3611
737 N Detroit St
Warsaw, IN 46580
Phone (260) 436-0259
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
140 Fox Rd
Van Wert, OH 45891
Phone (419) 238-7700
Interoperability endpoints
- gprasad@entfortwayne.gwaydirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Fort Wayne, IN
- NPI 1851377691
-
- Audiologist
- Fort Wayne, IN
- NPI 1891771655
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Decatur, IN
- NPI 1689696148
-
- Critical Access Hospital
- Angola, IN
- NPI 1386683316
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Parkview Wabash Hospital
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1487882353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 CLAY EDWARDS DR",
"address_2": "SUITE 240",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163251",
"telephone_number": "816-691-5287",
"fax_number": "816-346-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9411 N OAK TRFY",
"address_2": "SUITE 202",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641552233",
"telephone_number": "816-468-8820",
"fax_number": "816-468-8898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "KUMAR",
"middle_name": "GAURAV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "2015009389",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IN",
"license": "01073660A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201232130",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.