Individual provider Active NPI

Amarateedha Prak Lecourt, MD

  • Anesthesiology Physician
  • Oceanside, CA
National Provider Identifier
1518377217
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A179332 Issued in CA
Practice address
200 Mercy Circle
4TH Floor, RM 4172
Oceanside, CA 92055
Phone
(760) 719-5100
NPI assigned
May 2, 2014
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A179332 CA Primary
General Practice Physician 208D00000X A179332 CA

Addresses

Primary practice location

200 Mercy Circle
4TH Floor, RM 4172
Oceanside, CA 92055

Mailing address

1702 Blackbird Cir
Carlsbad, CA 92011-5008
Phone (727) 612-6089

Other practice location 1

Bldg 22190 92056 Marine Drive
Oceanside, CA 92058
Phone (760) 725-3784

Other names 1

  • Amarateedha Prak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230628000304 CA Practitioner - Anesthesiology 3577921204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Florida State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of California Medical Group IncGroup PAC ID 3375456692, 37 clinicians
Palomar Anesthesia Partners IncGroup PAC ID 3577046044, 39 clinicians

Practice addresses (Care Compare)

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (442) 281-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179332CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of California Medical Group Inc Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Palomar Anesthesia Partners Inc Anesthesiology CurrentSince Feb 1, 2026 Accepting new patients
Ap Lecourt MD, Inc Anesthesiology CurrentSince Sep 8, 2025 Accepting new patients
Trias Global, LLC Past Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Organizations & group practices 4

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 1

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1518377217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 BLACKBIRD CIR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920115008",
            "telephone_number": "727-612-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "address_2": "4TH FLOOR, RM 4172",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-719-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Bldg 22190 92056 Marine Drive",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "92058",
            "country_code": "US",
            "telephone_number": "760-725-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECOURT",
        "first_name": "AMARATEEDHA",
        "middle_name": "PRAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A179332",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A179332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMARATEEDHA",
            "last_name": "PRAK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.