Active NPI
Pranitha Prabhu, DO
- Obstetrics & Gynecology Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 81226
- Practice address
- 56 Franklin St
Waterbury, CT 06706-1253 - Phone
- (203) 709-6000
- NPI assigned
- Mar 26, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 81226 | CT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 446053021 | NY |
Addresses
Primary practice location
56 Franklin St
Waterbury, CT 06706-1253
Mailing address
56 Franklin St Ste 1
Waterbury, CT 06706-1281
Other practice location 1
201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-4882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Obstetrics/Gynecology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000
Hospital & facility affiliations
- Saint Mary'S Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 446053021 | NY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Medical Group, Inc. | Past | Accepting new patients |
Locations
114 Woodland St
Fl 4
Hartford, CT 06105
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
133 Scovill St
Ste 206
Waterbury, CT 06706
Phone (203) 709-8700
56 Franklin St
Ste 1
Waterbury, CT 06706
Phone (203) 709-6479
Interoperability endpoints
- pprabhu4555750@direct.trinity-health.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Obstetrics & Gynecology
-
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1316213143
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1508443391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST STE 1",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061253",
"telephone_number": "203-709-6000"
}
],
"practiceLocations": [
{
"address_1": "201 Lyons Ave",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071122027",
"country_code": "US",
"telephone_number": "973-926-4882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRABHU",
"first_name": "PRANITHA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CT",
"license": "81226",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "446053021",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.