Usha Prasad, MPH, DO
Individual provider Active NPI Pediatrics Physician · Philadelphia, PA
NPI 1770947236 · NPPES record last updated Jan 26, 2023
Key facts
- NPI
- 1770947236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 69929 (CT)
- Practice address
- 833 Chestnut St Ste 1210
Philadelphia, PA 19107-4428 - Phone
- (215) 955-2074
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220131002104 | CT | Practitioner - Pediatric Medicine | 8527352509 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69929 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current |
Accepting new patients |
| Connecticut Children'S Specialty Group, Inc. | Pediatrics | Current |
Accepting new patients |
Locations
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Ofc
Hartford, CT 06106
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
Interoperability endpoints
- uprasad94692@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 69929 | CT | Yes |
Addresses
Primary practice location
833 Chestnut St Ste 1210
Philadelphia, PA 19107-4428
Mailing address
10 Columbus Blvd Ofc
Hartford, CT 06106-1976
Phone (860) 837-5887
Other practice location 1
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9970
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | uprasad17080@direct.connecticutchildrens.org |
Other providers in Philadelphia, PA
- Ranjoo K Prasad
- Sandhya Prasad
- Sashank Prasad
- Srinivas Kasinadhuni Prasad
- Sushama Prasad
- Julianne Prasto
- Dan Prat
- Daphna Prat
- Ranjitha Pratap Nair
- Jayant Pratap
All providers in Philadelphia, PA · Pediatrics Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.