Individual provider Active NPI

Arundathi Ganesh Prasad, M.D.

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
National Provider Identifier
1770522286
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01061996 Issued in IN
Practice address
1633 N Capitol Ave
Suite 500
Indianapolis, IN 46202-1261
Phone
(317) 962-5014
Fax
(317) 962-2427
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01061996 IN Primary

Addresses

Primary practice location

1633 N Capitol Ave
Suite 500
Indianapolis, IN 46202-1261

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
200815600MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aprasad@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061102000297 IN Practitioner - Obstetrics/Gynecology 1254338320 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01061996INMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic, LLC CurrentSince Apr 1, 2024 Accepting new patients
Kosciusko Medical Group LLC CurrentSince Sep 25, 2024 Accepting new patients
Union Associated Physicians Clinic LLC CurrentSince Apr 1, 2024 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Major Hospital Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1429 N 6th St
Ofc
Terre Haute, IN 47807

1210 Provident Dr
Warsaw, IN 46580
Phone (219) 268-4300

1205 Provident Dr
#A
Warsaw, IN 46580
Phone (574) 269-8383

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

Interoperability endpoints

  • Direct secure messaging: aprasad@unionhealth.cernerdirect.com
  • Direct secure messaging: aprasad@direct.iuhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1770522286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 N CAPITOL AVE",
            "address_2": "SUITE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021261",
            "telephone_number": "317-962-5014",
            "fax_number": "317-962-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "ARUNDATHI",
        "middle_name": "GANESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01061996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200815600",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aprasad@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1633 N Capitol Ave",
            "address_2": "Suite 500",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.