Prasuna Kadepalli, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116976 Issued in FL

Practice address

5810 Coral Ridge Dr Ste 300
Coral Springs, FL 33076-3377

Phone

(954) 414-7700

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11881/brand/1/csg/1/fhir/r4

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.

• Plantation Pediatrics PA

  • Pediatrics Physician
  • Plantation, FL
  • NPI 1417033077
  NPD (past)
• Plantation Pediatrics PA

  • Pediatrics Physician
  • Pembroke Pines, FL
  • NPI 1588942528
  NPD (past)

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1659079283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 GREENBRIAR LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313832",
            "telephone_number": "954-608-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 CORAL RIDGE DR STE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763377",
            "telephone_number": "954-414-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1806 N Flamingo Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281029",
            "country_code": "US",
            "telephone_number": "954-431-0131",
            "fax_number": "954-431-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADEPALLI",
        "first_name": "PRASUNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116976",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mercedes Jurado, DDS
• Shannon Juresich
• Rawan Kablawi, MD
• Kadel Family Chiropractic, LLC
• David Henry Kadel, D.C.
• Sohinee Kadylak
• Erin Stacey Kaeppel
• Sawrabhya Kalapurakkal, PA-C
• Mariza Kalaw
• Sonia K Kalirao, MD

• Physician Assistant in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.