Active NPI
Soordal O Prakash, MD
- Family Medicine Physician
- Sarasota, FL
National Provider Identifier
1649235409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME76860
- Practice address
- 5937 Beneva Rd
Sarasota, FL 34238-2504 - Phone
- (941) 918-2011
- Fax
- (941) 918-2046
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | ME76860 | FL | |
| Family Medicine Physician | 207Q00000X | ME76860 | FL | Primary |
Addresses
Primary practice location
5937 Beneva Rd
Sarasota, FL 34238-2504
Mailing address
5937 Beneva Rd
Sarasota, FL 34238-2504
Phone (941) 918-2011
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4106534005 | Other | CIGNA | |
| 29060 | Other | FL | BCBS |
| 7119242 | Other | FL | AETNA |
| 245078 | Other | WELLCARE MCARE | |
| 266978100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
109 Laurel Rd E
Nokomis, FL 34275-5233
Phone (941) 375-8734
5937 Beneva Rd
Sarasota, FL 34238-2504
Phone (941) 918-2011
Hospital & facility affiliations
- Empath Home Health
- Patients First Home Care LLC
- Sarasota Memorial Hospital
- HCA Florida Sarasota Doctors Hospital
- Sarasota Memorial Hospital - Venice
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Medical Center LLC | Current | Accepting new patients | |
| Ambulatory Care Physicians of Sarasota LLC | Past | Accepting new patients |
Locations
5937 Beneva Rd
Sarasota, FL 34238
Phone (941) 918-2011
Interoperability endpoints
- soordal.prakash.1@12915.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Specialist
- Sarasota, FL
- NPI 1770653107
-
- Rehabilitation Clinic/Center
- Nokomis, FL
- NPI 1780964973
-
- General Practice Physician
- Sarasota, FL
- NPI 1417986084
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Myers, FL
- NPI 1659675106
-
- Home Health Agency
- Sarasota, FL
- NPI 1245845312
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1649235409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5937 BENEVA RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342382504",
"telephone_number": "941-918-2011",
"fax_number": "941-918-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5937 BENEVA RD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342382504",
"telephone_number": "941-918-2011",
"fax_number": "941-918-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRAKASH",
"first_name": "SOORDAL",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "FL",
"license": "ME76860",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME76860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4106534005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "29060",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7119242",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MCARE",
"identifier": "245078",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "266978100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.