Srinivas Kasinadhuni Prasad, M.D.
Individual provider Active NPI Neurological Surgery Physician · Philadelphia, PA
NPI 1629132006 · NPPES record last updated Dec 6, 2018
Key facts
- NPI
- 1629132006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- MD437909 (PA)
- Practice address
- 909 Walnut St FL 2
Philadelphia, PA 19107-5211 - Phone
- (215) 955-7000
- Fax
- (215) 503-7007
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- Boston University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson University Physicians
Practice addresses (Care Compare)
909 Walnut St
2ND Floor
Philadelphia, PA 19107-5211
Phone (215) 955-7000
Hospital & facility affiliations
- Jefferson Health at Home by Bayada
- Jefferson Health at Home by Bayada
- Thomas Jefferson University Hospital
- Jefferson Health- Northeast
- St Mary Medical Center
- Penn Presbyterian Medical Center
- Doylestown Hospital
- Good Shepherd Penn Partners
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 629 |
| Laminectomy or laminotomy (partial removal of spine bones) | 237 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091008000441 | PA | Practitioner - Neurosurgery | 1254499262 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006018983 | MO | MD | Neurological Surgery Physician |
| MD437909 | PA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Jefferson University Physicians | Past | Accepting new patients | |
| Sjmgroup | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 2006018983 | MO | |
| Neurological Surgery Physician | 207T00000X | 25MA08698500 | NJ | |
| Neurological Surgery Physician | 207T00000X | MD437909 | PA | Yes |
Addresses
Primary practice location
909 Walnut St FL 2
Philadelphia, PA 19107-5211
Mailing address
909 Walnut St FL 2
Philadelphia, PA 19107-5211
Phone (215) 955-7000
Other practice location 1
3 Crescent Dr Fl 3
Philadelphia, PA 19112-1016
Phone (215) 503-3321
Other practice location 2
1205 Langhorne Newtown Rd Ste 210
Langhorne, PA 19047-1221
Phone (215) 757-3980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0208876 | Medicaid | NJ | |
| 102374209 | Medicaid | PA |
Other providers in Philadelphia, PA
- Ojaswa Prasad
- Raghuram Prasad
- Ranjoo K Prasad
- Sandhya Prasad
- Sashank Prasad
- Sushama Prasad
- Usha Prasad
- Julianne Prasto
- Dan Prat
- Daphna Prat
All providers in Philadelphia, PA · Neurological Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.