Active NPI
Prasad G Kilaru
- Plastic Surgery Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A060104
- Practice address
- 39141 Civic Center Dr
Suite 110
Fremont, CA 94538-1730 - Phone
- (510) 791-9700
- Fax
- (510) 791-9703
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | A060104 | CA | |
| Plastic Surgery Physician | 208200000X | A060104 | CA | Primary |
Addresses
Primary practice location
39141 Civic Center Dr
Suite 110
Fremont, CA 94538-1730
Mailing address
39141 Civic Center Dr
Suite 110
Fremont, CA 94538-1730
Phone (510) 791-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A601040 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
39141 Civic Ctr Dr
Suite 106
Fremont, CA 94538-5878
Phone (510) 248-1520
Hospital & facility affiliations
- Washington Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.74 of 100
- Quality
- 66.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Mastectomy | 21 |
| Melanoma (skin cancer) excision | 29 |
| Removal of tissue | 57 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60104 | CA | MD | Social Worker |
| A060104 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Medical Foundation | Family Medicine | Current | Accepting new patients |
| Washington Township Medical Foundation | Current | Accepting new patients | |
| East Bay Hand & Plastic Surgery Center Inc. | Plastic Surgery | Current | Accepting new patients |
| Deccan Pacific Medical Group, PC | Past | Accepting new patients | |
| Washington Township Hospital District | Past | Accepting new patients | |
| Usc University Hospital, Inc. | Past | Accepting new patients |
Locations
39141 Civic Center Dr
Ste 106
Fremont, CA 94538
Phone (510) 248-1520
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
39141 Civic Center Dr
Ste 110
Fremont, CA 94538
Phone (510) 695-2500
Interoperability endpoints
- pkilaru13608@direct.whhs.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Amore Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (50%) Corporate Officer (50%) |
Sep 10, 2019 Sep 10, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Fremont, CA
- NPI 1316298938
5% Or Greater Indirect Ownership Interest, Corporate Officer
Organizations & group practices 6
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.
-
- Plastic Surgery Physician
- Fremont, CA
- NPI 1720214125
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
Family Medicine
-
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1306985767
-
- Psychiatric Hospital Unit
- Los Angeles, CA
- NPI 1790718500
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1154472058
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689674665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39141 CIVIC CENTER DR",
"address_2": "SUITE 110",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381730",
"telephone_number": "510-791-9700",
"fax_number": "510-791-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39141 CIVIC CENTER DR",
"address_2": "SUITE 110",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381730",
"telephone_number": "510-791-9700",
"fax_number": "510-791-9703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILARU",
"first_name": "PRASAD",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "A060104",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A060104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A601040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.