Individual provider Active NPI

Sujata Prasad, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1598740235
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22084 Issued in OK
Practice address
3330 NW 56TH St
Suite 308
Oklahoma City, OK 73112-4479
Phone
(405) 604-0688
Fax
(405) 604-0689
NPI assigned
Dec 14, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22084 OK Primary

Addresses

Primary practice location

3330 NW 56TH St
Suite 308
Oklahoma City, OK 73112-4479

Mailing address

3330 NW 56TH St
Suite 308
Oklahoma City, OK 73112-4479
Phone (405) 604-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100326000040 OK Practitioner - Internal Medicine 8325174667 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22084OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Mediciine Associates of Oklahoma City, P.L.L.C Internal Medicine CurrentSince Sep 1, 2002 Accepting new patients

Locations

3300 NW 56th St
Ste 280
Oklahoma City, OK 73112
Phone (405) 604-0688

3330 NW 56th St
Ste 208
Oklahoma City, OK 73112
Phone (405) 506-9101

3330 NW 56th St
Ste 308
Oklahoma City, OK 73112
Phone (405) 604-0688

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598740235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 308",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-604-0688",
            "fax_number": "405-604-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "SUITE 308",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-604-0688",
            "fax_number": "405-604-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "SUJATA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.