NPIMap

Individual provider Active NPI

Malavika Prasad, MD

  • Pediatric Nephrology Physician
  • Louisville, KY
National Provider Identifier
1669735783
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
53101 Issued in KY
Practice address
411 E Chestnut St
Louisville, KY 40202-1713
Phone
(502) 588-4970
Fax
(502) 588-4970
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 53101 KY
Pediatrics Physician 208000000X TP642 KY
Student in an Organized Health Care Education/Training Program 390200000X 183693 NC
Pediatric Nephrology Physician 2080P0210X 53101 KY Primary

Addresses

Primary practice location

411 E Chestnut St
Louisville, KY 40202-1713

Mailing address

PO Box 776879
Chicago, IL 60677-0909
Phone (502) 588-9490

Other practice location 1

101 Manning Dr
Dept of Surgery Burnett-Womack Bldg, CB #7050
Chapel Hill, NC 27514-4220
Phone (919) 966-4653

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mprasad165503@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917004343 KY Practitioner - NephrologyPractitioner - Pediatric Medicine 2961732979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Pediatric Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 E Chestnut St
4B6B
Louisville, KY 40202-1713
Phone (502) 588-4970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.07
Promoting interoperability
100
Improvement activities
40
Cost
76.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183693NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Aug 30, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 30, 2019 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
University of Louisville Physicians, Inc. Pediatrics Current Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

411 E Chestnut St
#7
Louisville, KY 40202
Phone (502) 588-3400

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

411 E Chestnut St
#3
Louisville, KY 40202
Phone (502) 588-4910

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

411 E Chestnut St
#4B6B
Louisville, KY 40202
Phone (502) 588-4970

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Organizations & group practices 7

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1669735783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770909",
            "telephone_number": "502-588-9490",
            "fax_number": "502-588-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021713",
            "telephone_number": "502-588-4970",
            "fax_number": "502-588-4970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Manning Dr",
            "address_2": "Dept of Surgery Burnett-Womack Bldg, CB #7050",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144220",
            "country_code": "US",
            "telephone_number": "919-966-4653",
            "fax_number": "919-966-7841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "MALAVIKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "53101",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "TP642",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "183693",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "KY",
            "license": "53101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mprasad165503@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "411 E Chestnut St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "411 E Chestnut St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.