Active NPI
Sidarrth Prasad, MBBS
- Neurology Physician
- Springfield, IL
National Provider Identifier
1801781752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 125086387
- Practice address
- 751 N Rutledge St
Springfield, IL 62702-4968 - Phone
- (217) 545-3134
- NPI assigned
- Jun 11, 2025
- Last updated
- Jun 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 125086387 | IL | Primary |
Addresses
Primary practice location
751 N Rutledge St
Springfield, IL 62702-4968
Mailing address
PO Box 19643
Springfield, IL 62794-9643
Phone (217) 545-3134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250704000065 | IL | Order and Referring Only - Neurology | 2365956117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1801781752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19643",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949643",
"telephone_number": "217-545-3134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 N RUTLEDGE ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024968",
"telephone_number": "217-545-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "SIDARRTH",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "125086387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
- Prairie Psychotherapy Associates, PC
- Prairie Sleep Center LLC
- Prairie Sleep Center LLC
- Vidhya Prakash, M.D.
- Pinnamaneni Prasad, MD
- Sudha G Prasad, M.D.C.S.
- Christina Prefountain, RNFA
- Premier Vision Center LLC
- Premiere Physical Therapy & Sport Rehabilitation
- Premiere Physical Therapy & Sports Injury Rehabilitation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.