Active NPI
Soumiya Prakasam, MD
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036125115
- 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
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 |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Group
Practice addresses (Care Compare)
530 Park Ave E
Princeton, IL 61356-3901
Phone (815) 875-2811
Hospital & facility affiliations
- Osf Saint Clare Medical Center
- Osf Saint Luke Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129051 | CA | MD | Mental Health Counselor |
| 125 050901 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Associates San Jose PC | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Statera Health Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Associates Fremont PC | Emergency Medicine | Current | Accepting new patients |
| Morrison Community Hospital District | Family Medicine | Current | Accepting new patients |
| Hawaii Emergency Physicians Associated Inc | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Emergency Medicine | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Emergency Physicians Associates Overhead Operating Account Dennis Belo | Emergency Medicine | Current | Accepting new patients |
| Morrison Community Hospital District | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Family Medicine | Current | 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 | Past | 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
- 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.
-
- Emergency Medicine Physician
- Harrisburg, IL
- NPI 1043874449
Emergency Medicine, IL
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
CA, Family Medicine
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
CA
-
- Emergency Medicine Physician
- Fremont, CA
- NPI 1790250967
CA, Emergency Medicine
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1306311576
CA, Emergency Medicine
-
- Critical Access Hospital
- Morrison, IL
- NPI 1184844938
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1013969153
Emergency Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.