Prasad Polisetty MD PLLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

PRASAD POLISETTY MD PLLC

Practice address

120 12TH St
Princeton, WV 24740

Phone

(304) 487-8000

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Sean Sherrill

Title

Billing Admin

Phone

(423) 646-1862

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prasad Polisetty, M.D

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1376711291

  WV

  Medicare reassignment NPD

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1649995382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791825",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791825",
            "telephone_number": "248-633-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 12TH ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "24740",
            "telephone_number": "304-487-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD POLISETTY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "423-646-1862"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376711291",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.encompasshealth.com",
            "affiliation": "N",
            "address_1": "120 12th St",
            "city": "Princeton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "24740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Powell
• Carlee Brooke Powell, FNP
• Erika Marie Lou Powell, PA-C
• Sarah Lee Powell, BS,ADC
• Bethany Powers
• Gordon F Prescott, MD
• Timothy Alan Prescott, PAC
• Jacob Presutti
• Robin Presutti
• Arthi Vasudevan Price, PA-C

• Critical Care Medicine (Internal Medicine) Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Critical Care Medicine (Internal Medicine) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.

Verify at the official NPI Registry.