Individual provider Active NPI

Roy Prashad, D.O.

  • Rheumatology Physician
  • Riverhead, NY
National Provider Identifier
1760473573
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
210837 Issued in NY
Practice address
31 Main Rd
Suite 1
Riverhead, NY 11901-1953
Phone
(631) 727-0565
Fax
(631) 727-2789
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 210837 NY Primary

Addresses

Primary practice location

31 Main Rd
Suite 1
Riverhead, NY 11901-1953

Mailing address

31 Main Rd
Suite 1
Riverhead, NY 11901-1953
Phone (631) 727-0565

Other identifiers 1

IdentifierTypeStateIssuer
02411925MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040311001130 NY Practitioner - RheumatologyPractitioner - Internal Medicine 5698664332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

54 Commerce Ave
Suite 4
Riverhead, NY 11901-4454
Phone (631) 727-0565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.99 of 100Reported as individual
Quality
63.52
Improvement activities
40
Cost
78.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210837NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East End Rheumatology PLLC Rheumatology CurrentSince Jan 1, 2008 Accepting new patients
Graduate Hospital Dept. of Medicine Education & Research Foundation Rheumatology Past Accepting new patients

Locations

54 Commerce Ave
Ste 4
Riverhead, NY 11901
Phone (631) 727-0565

Organizations & group practices 2

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 7

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1760473573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MAIN RD",
            "address_2": "SUITE 1",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011953",
            "telephone_number": "631-727-0565",
            "fax_number": "631-727-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN RD",
            "address_2": "SUITE 1",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011953",
            "telephone_number": "631-727-0565",
            "fax_number": "631-727-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASHAD",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "210837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02411925",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.