Individual provider Active NPI

Sudhir Prasada, MD

  • Interventional Cardiology Physician
  • Rocky Mount, NC
National Provider Identifier
1710971585
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
36803 Issued in NC
Practice address
901 N Winstead Ave
Rocky Mount, NC 27804-8467
Phone
(252) 937-0229
Fax
(252) 937-3109
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 36803 NC Primary

Addresses

Primary practice location

901 N Winstead Ave
Rocky Mount, NC 27804-8467

Mailing address

PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200

Other identifiers 5

IdentifierTypeStateIssuer
69028OtherNDBCBSNC
69976OtherNCMEDCOST
60027798OtherNDRAILROAD MEDICARE
7969028MedicaidNC
9782566OtherNCCIGNA HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20060113000815 NC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4284658493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Brody School of Medicine at East Carolina University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nash Hospitals IncGroup PAC ID 4284521568, 39 clinicians
NHCS Physicians IncGroup PAC ID 7719209154, 97 clinicians

Practice addresses (Care Compare)

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8199

901 N Winstead Ave
Suite 430
Rocky Mount, NC 27804-8467
Phone (252) 962-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
62.03
Promoting interoperability
99
Improvement activities
40
Cost
78.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NHCS Physicians Inc CurrentSince Dec 7, 2017 Accepting new patients
Nash Hospitals Inc CurrentSince Feb 12, 2014 Accepting new patients
NHCS Physicians Inc CurrentSince Dec 7, 2017 Accepting new patients
Nash Hospitals, Inc. Current Accepting new patients
Nash Hospitals Inc CurrentSince Feb 12, 2014 Accepting new patients

Locations

901 N Winstead Ave
Ste 430
Rocky Mount, NC 27804
Phone (252) 962-6300

2460 Curtis Ellis Dr
Bldg 100
Rocky Mount, NC 27804
Phone (252) 962-2328

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Interoperability endpoints

  • Direct secure messaging: sprasada136602@direct.unc.nchie.net

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1710971585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040200",
            "telephone_number": "252-937-0200",
            "fax_number": "252-451-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048467",
            "telephone_number": "252-937-0229",
            "fax_number": "252-937-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASADA",
        "first_name": "SUDHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "36803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "69028",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "69976",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "60027798",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7969028",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "9782566",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.