Individual provider Active NPI

Namratha Prabhu, M.D.

  • Interventional Pain Medicine Physician
  • La Mesa, CA
National Provider Identifier
1659717965
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A153978 Issued in CA
Practice address
5565 Grossmont Center Drive, BLDG. 3
Suite 540
La Mesa, CA 91942-3024
Phone
(619) 460-2700
Fax
(619) 460-2702
NPI assigned
May 14, 2013
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A153978 CA
General Acute Care Hospital 282N00000X
Interventional Pain Medicine Physician 208VP0014X A153978 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Drive, BLDG. 3
Suite 540
La Mesa, CA 91942-3024

Mailing address

5565 Grossmont Center Drive, BLDG. 3
Suite 540
La Mesa, CA 91942-3024
Phone (619) 460-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180806002146 CA Practitioner - AnesthesiologyPractitioner - Pain Management 7012265176
I20231023003616 OR Practitioner - Anesthesiology 7012265176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Pain Management, Inc.Group PAC ID 2062595796, 16 clinicians

Practice addresses (Care Compare)

19255 SW 65TH Ave
Suite 110
Tualatin, OR 97062-9717
Phone 5413869500205

Merit-based Incentive Payment System (MIPS)

Final score
88.11 of 100Reported as group
Quality
72.02
Promoting interoperability
98
Improvement activities
40
Cost
75.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Pain Management, Inc. Interventional Pain Medicine CurrentSince Jul 6, 2025 Accepting new patients
Oregon Pain Management LLC Anesthesiology CurrentSince Sep 10, 2023 Accepting new patients
Pain Care Specialists of Oregon, LLC CurrentSince Sep 1, 2023 Accepting new patients
Columbia Pain Management, LLC Interventional Pain Medicine Past Accepting new patients

Locations

1010 10th St
Hood River, OR 97031
Phone (541) 386-9500

2149 Cascade Ave
Ste 106A
Hood River, OR 97031
Phone (541) 645-3505

6542 SE Lake Rd
Ste 101
Portland, OR 97222
Phone (503) 387-5546

2480 Liberty St NE
Ste 180
Salem, OR 97301
Phone (503) 371-1010

19255 SW 65th Ave
Ste 110
Tualatin, OR 97062
Phone (503) 208-9432

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CACHAA
  • Direct secure messaging: nprabhu@pspc.curemd.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1659717965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DRIVE, BLDG. 3",
            "address_2": "SUITE 540",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423024",
            "telephone_number": "619-460-2700",
            "fax_number": "619-460-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DRIVE, BLDG. 3",
            "address_2": "SUITE 540",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423024",
            "telephone_number": "619-460-2700",
            "fax_number": "619-460-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHU",
        "first_name": "NAMRATHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A153978",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A153978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.