Active NPI
Gokul V.R. Prakash, MD
- Surgery Physician
- North Andover, MA
National Provider Identifier
1528065364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 42433
- Practice address
- 575 Turnpike St
North Andover, MA 01845-5924 - Phone
- (978) 682-2310
- Fax
- (978) 682-8206
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 42433 | MA | Primary |
Addresses
Primary practice location
575 Turnpike St
North Andover, MA 01845-5924
Mailing address
575 Turnpike St
North Andover, MA 01845-5924
Phone (978) 682-2310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2087189 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1528065364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455924",
"telephone_number": "978-682-2310",
"fax_number": "978-682-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 TURNPIKE ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455924",
"telephone_number": "978-682-2310",
"fax_number": "978-682-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAKASH",
"first_name": "GOKUL",
"middle_name": "V.R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "42433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2087189",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.