Wilfred O. Prados III, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

M3699 Issued in TX

Practice address

800 East Dawson
Tyler, TX 75701

Phone

(903) 531-4500

NPI assigned

Oct 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

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 2

Specialty

Anesthesiology

Education

Louisiana State University School of Medicine in New Orleans, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Galleria Anesthesia Associates, LLCGroup PAC ID 6507261740, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avala Hospital, Covington, LA, CCN 190267

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wprados7815@christushealth.direct-ci.net

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.

• Galleria Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Metairie, LA
  • NPI 1962966796
  Medicare reassignment Care Compare group NPD
• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458
  Medicare reassignment Care Compare group NPD
• Jefferson Anesthesia Consultants

  • Anesthesiology Physician
  • Kenner, LA
  • NPI 1639816374
  Medicare reassignment NPD
• Pontchartrain Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Covington, LA
  • NPI 1497090740
  Medicare reassignment NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599
  Medicare reassignment NPD
• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairway Medical Center, LLC

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1851487086
  Care Compare affiliation

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1598756637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EAST DAWSON",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-531-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADOS",
        "first_name": "WILFRED",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00015132",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M3699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000087870",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186388801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Powell
• Emily Rachel Powell, LCSW
• Michael Edison Powell, PTA
• William R. Powell, MD
• Ajay Prabhu
• Ritesh R Prasad, MD
• Carey G Prater, O.D.
• Scott Clifford Pratt, PT, DPT
• Preddy Chiropractic PC
• Allan George Preddy, DC

• Anesthesiology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.

Verify at the official NPI Registry.