Prabhu Deepak Kumar Udayakumar, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

R9552 Issued in TX

Practice address

1850 Hickory St
Ste 200F
Abilene, TX 79601-2305

Phone

(325) 670-4590

Fax

(325) 670-4587

NPI assigned

Oct 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Rheumatology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
• Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
• Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055
• Stephens Memorial Hospital Hospital, Breckenridge, TX, CCN 671302
• Comanche County Medical Center Hospital, Comanche, TX, CCN 451382

Merit-based Incentive Payment System (MIPS)

Final score

78.51 of 100Reported as group

Quality

63.02

Promoting interoperability

100

Improvement activities

40

Cost

65.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: prabhu.deepak.kumar.udayakumar.1@21794.direct.athenahealth.com
• Direct secure messaging: prabhaudayakumar@hmc.allscriptsdirect.net
• Direct secure messaging: prabhu.deepak.kumar.udayakumar.1@10115.direct.athenahealth.com

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.

• Hendrick Provider Network

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1396961322

  Rheumatology

  Medicare reassignment Care Compare group NPD
• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  NPD
• Hendrick Provider Network

  • Rural Health Clinic/Center
  • San Saba, TX
  • NPI 1346044401
  NPD

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

• Comanche County Medical Center Company

  • Critical Access Hospital
  • Comanche, TX
  • NPI 1346544616
  Care Compare affiliation
• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation
• Hendrick Medical Center Brownwood

  • General Acute Care Hospital
  • Brownwood, TX
  • NPI 1184233785
  Care Compare affiliation
• Rolling Plains Memorial Hospital

  • General Acute Care Hospital
  • Sweetwater, TX
  • NPI 1275581852
  Care Compare affiliation
• Stephens Memorial Hospital District

  • Critical Access Hospital
  • Breckenridge, TX
  • NPI 1285065623
  Care Compare affiliation

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1679725923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "address_2": "STE 200F",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012305",
            "telephone_number": "325-670-4590",
            "fax_number": "325-670-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "address_2": "STE 200F",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012305",
            "telephone_number": "325-670-4590",
            "fax_number": "325-670-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDAYAKUMAR",
        "first_name": "PRABHU DEEPAK KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "105531",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MN",
            "license": "54627",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ND",
            "license": "RL10815",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "R9552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "PO1053458",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Turner, DDS
• Stanley Don Turner, DDS
• Makayla V Twehous, DPT
• TWMH LLC
• TX Southern Dental PPO PC
• Odira Ughanze, LPC
• United House Calls of Texas, Inc
• United States Air Force
• United Supermarkets LLC
• United Supermarkets LLC

• Rheumatology Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.

Verify at the official NPI Registry.