NPIMap

Individual provider Active NPI

Madhan Prabhakaran, MD

  • Family Medicine Physician
  • Estherville, IA
National Provider Identifier
1497043251
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41972 Issued in IA
Practice address
926 N 8TH St
Estherville, IA 51334-1300
Phone
(712) 362-6501
NPI assigned
Jul 14, 2011
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41972 IA Primary

Addresses

Primary practice location

926 N 8TH St
Estherville, IA 51334-1300

Mailing address

926 N 8TH St
Estherville, IA 51334-1300
Phone (712) 362-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140904002096 IA Practitioner - Family Practice 0446490890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera Holy FamilyGroup PAC ID 7113837428, shared by 4 NPIs, 7 clinicians

Practice addresses (Care Compare)

826 N 8TH St
Estherville, IA 51334-1528
Phone (712) 362-2631

926 N 8TH St
Estherville, IA 51334-1300
Phone (712) 362-6501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41972IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Holy Family CurrentSince May 9, 2023 Accepting new patients
Avera Holy Family Current Accepting new patients
Avera Holy Family Current Accepting new patients

Locations

926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501

Interoperability endpoints

  • Direct secure messaging: madhan.prabhakaran@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Estherville Community Care CenterEstherville, IA, CCN 165523 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2025
Nov 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Estherville Opco LLC

    dba Estherville Community Care Center

    • Skilled Nursing Facility
    • Estherville, IA
    • NPI 1003707977

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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.

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1497043251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N 8TH ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341300",
            "telephone_number": "712-362-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N 8TH ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341300",
            "telephone_number": "712-362-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHAKARAN",
        "first_name": "MADHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "41972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estherville, IA

Sources for this page

Verify at the official NPI Registry.