Active NPI
Ankita Prasad
- Neurology with Special Qualifications in Child Neurology Physician
- Plano, TX
National Provider Identifier
1609363415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- V0514
- Practice address
- 4032 McDermott Rd
Plano, TX 75024-7733 - Phone
- (972) 769-9000
- NPI assigned
- Apr 17, 2018
- Last updated
- Oct 31, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | V0514 | TX | Primary |
Addresses
Primary practice location
4032 McDermott Rd
Plano, TX 75024-7733
Mailing address
4032 McDermott Rd
Plano, TX 75024-7733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180705001654 | OH | Order and Referring Only - Pediatric Medicine | 2163778168 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0514 | TX | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Neurology Clinics of Texas | Neurology With Special Qualifications in Child Neurology | Past | Accepting new patients |
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.
-
dba Dallas Pediatric Neurology Associates, Texas Child Neurology
- Neurology with Special Qualifications in Child Neurology Physician
- Plano, TX
- NPI 1689953093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1609363415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 MCDERMOTT RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750247733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4032 MCDERMOTT RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750247733",
"telephone_number": "972-769-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "ANKITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "V0514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.