Pushpa Prabhu, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

186762-1 Issued in NY

Practice address

3131 Nys Route 9W
New Windsor, NY 12553-6755

Phone

(845) 561-0006

Fax

(845) 561-2042

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pandurang M. Prabhu M.D., P.C

  • Primary Care Clinic/Center
  • New Windsor, NY
  • NPI 1902853153
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629135728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 NYS ROUTE 9W",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536755",
            "telephone_number": "845-561-0006",
            "fax_number": "845-561-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 NYS ROUTE 9W",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536755",
            "telephone_number": "845-561-0006",
            "fax_number": "845-561-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHU",
        "first_name": "PUSHPA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "186762-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prashant P Ponda, M.D.
• Courtney Powell
• Reginald Lester Powell, LMFT
• Sharon Bean Powell, OD
• Pandurang M Prabhu, M.D
• Jenna Marie Prego, M.S., CCC-SLP
• Anthony Herbert Primus, LMSW
• George J Profeta, MD
• Gina M. Prokosch-Cook, D.D.S.
• Susan A Pucci, RN

• Psychiatry Physician in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.