Individual provider Active NPI

Prasad VRK Chalasani, MD

  • Cardiovascular Disease Physician
  • Fort Pierce, FL
National Provider Identifier
1760477269
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0072976 Issued in FL
Practice address
1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837
Phone
(772) 465-4499
Fax
(772) 466-0832
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0072976 FL Primary

Addresses

Primary practice location

1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837

Mailing address

1900 Nebraska Avenue
Suite 9
Fort Pierce, FL 34950-4837
Phone (772) 465-4499

Other identifiers 3

IdentifierTypeStateIssuer
060053466OtherRAILROAD MEDICARE
253894600MedicaidFL
2071408OtherAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101014000327 FL Practitioner - Cardiovascular Disease (Cardiology) 7012951601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Heart Center, PAGroup PAC ID 5294779880, 7 clinicians

Practice addresses (Care Compare)

1900 Nebraska Ave
Suite 9
Fort Pierce, FL 34950-4837
Phone (772) 465-4499

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, Fort Pierce, FL, CCN 107271
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
81.87
Improvement activities
40
Cost
80.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting101
Pacemaker insertion or repair15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072976FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Heart Center, PA Cardiovascular Disease CurrentSince Jan 1, 2000 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Dec 7, 2022 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Dec 7, 2022 Accepting new patients

Locations

1900 Nebraska Ave
Ste 9
Fort Pierce, FL 34950
Phone (561) 465-4499

1631 NW Saint Lucie West Blvd
#102103
Port Saint Lucie, FL 34986

1631 NW Saint Lucie West Blvd
Ste 103
Port Saint Lucie, FL 34986

1801 SE Hillmoor Dr
Ste C-201
Port Saint Lucie, FL 34952
Phone (772) 337-5556

1801 SE Hillmoor Dr
Port St Lucie, FL 34952
Phone (561) 337-0199

1631 NW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (561) 857-7777

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 5

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1760477269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVENUE",
            "address_2": "SUITE 9",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-465-4499",
            "fax_number": "772-466-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVENUE",
            "address_2": "SUITE 9",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-465-4499",
            "fax_number": "772-466-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALASANI",
        "first_name": "PRASAD",
        "middle_name": "VRK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0072976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060053466",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253894600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2071408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.