Individual provider Active NPI

Soumiya Prakasam, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1497914949
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036125115 Issued in IL
Practice address
111 S Morgan St
Unit 401
Chicago, IL 60607-2724
Phone
(312) 371-9381
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125 050901 IL
Emergency Medicine Physician 207P00000X 036125115 IL Primary

Addresses

Primary practice location

111 S Morgan St
Unit 401
Chicago, IL 60607-2724

Mailing address

111 S Morgan Street
Unit 401
Chicago, IL 60607-2726
Phone (312) 371-9381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110321000457 IL Practitioner - Emergency Medicine 8527110501 Reassigns benefits to 2 organizations
I20140812001432 CA Practitioner - Emergency Medicine 8527110501 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

530 Park Ave E
Princeton, IL 61356-3901
Phone (815) 875-2811

Hospital & facility affiliations

  • Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
  • Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129051CAMDMental Health Counselor
125 050901ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Jun 24, 2019 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Emergency Physicians Associates Fremont PC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Morrison Community Hospital District Family Medicine CurrentSince Dec 1, 2025 Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Jan 10, 2013 Accepting new patients
County of Santa Clara Emergency Medicine CurrentSince Jun 24, 2019 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Emergency Physicians Associates Overhead Operating Account Dennis Belo Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Morrison Community Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 5, 2025 Accepting new patients
Carbon Health Medical Group of California PC Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Indiana Physician Services LLC Emergency Medicine Past Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients
Midwest Emergency Associates-Munster, LLC Emergency Medicine Past Accepting new patients
Carbon Health Primary Care of California PC Family Medicine PastSince Jul 20, 2025 Accepting new patients

Locations (25 of 29)

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971

4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400

11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173

806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

407 Uluniu St
Fl 4
Kailua, HI 96734
Phone (808) 261-3326

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

Interoperability endpoints

  • Direct secure messaging: sprakasam125956@santaclaravalley.direct-ci.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1497914949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MORGAN STREET",
            "address_2": "UNIT 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072726",
            "telephone_number": "312-371-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MORGAN ST",
            "address_2": "UNIT 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072724",
            "telephone_number": "312-371-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAKASAM",
        "first_name": "SOUMIYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125 050901",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036125115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.