Individual provider Active NPI

Rajendra Prasad, M.D.

  • Cardiovascular Disease Physician
  • Rochester Hills, MI
National Provider Identifier
1619937885
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301038558 Issued in MI
Practice address
645 Barclay Cir
Rochester Hills, MI 48307-5804
Phone
(248) 844-1010
Fax
(248) 844-9089
NPI assigned
Mar 23, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301038558 MI Primary

Addresses

Primary practice location

645 Barclay Cir
Rochester Hills, MI 48307-5804

Mailing address

645 Barclay Cir
Rochester Hills, MI 48307-5804
Phone (248) 844-1010

Other identifiers 4

IdentifierTypeStateIssuer
0F37550OtherMIBCN
104254118MedicaidMI
060053571OtherMIRAILROAD MEDICARE
0F37550OtherMIBCBSM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prasad@aca.gwaydirect.com Health Information Exchange (HIE) Advanced Cardiology Associates, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100329001018 MI Practitioner - Cardiovascular Disease (Cardiology) 9234041617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiology Associates PCGroup PAC ID 6800058199, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

645 Barclay Cir
Rochester Hills, MI 48307-5804
Phone (248) 844-1010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiology Associates, PC Cardiovascular Disease CurrentSince Feb 2, 2012 Accepting new patients
Advanced Cardiology Associates, PC Cardiovascular Disease CurrentSince May 1, 2012 Accepting new patients
Cardiology and Vascular Associates PC PastSince Jul 1, 1999 Accepting new patients
Cardiology and Vascular Associates PC Cardiovascular Disease Past Accepting new patients

Locations

72 S Washington St
Ste 202
Oxford, MI 48371
Phone (248) 628-0220

72 S Washington St
Ste 203
Oxford, MI 48371
Phone (248) 236-8320

645 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 829-1956

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.521004
  • Direct secure messaging: rprasad1145014@direct.hfhs.org

Organizations & group practices 5

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 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1619937885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BARCLAY CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075804",
            "telephone_number": "248-844-1010",
            "fax_number": "248-844-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BARCLAY CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075804",
            "telephone_number": "248-844-1010",
            "fax_number": "248-844-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "RAJENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301038558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "0F37550",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104254118",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060053571",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0F37550",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prasad@aca.gwaydirect.com",
            "affiliation": "Y",
            "affiliationName": "Advanced Cardiology Associates, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "645 Barclay Cir",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483075804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.