Raghavendra Prakash, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME29100 Issued in FL

Practice address

3601 W Commercial Blvd Ste 5
Anesco North Broward LLC
Fort Lauderdale, FL 33309

Phone

(954) 485-5666

Fax

(954) 484-1651

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesco North Broward LLC

  • Anesthesiology Physician
  • Ft Lauderdale, FL
  • NPI 1699763862
  NPD
• Anesco Anesthesia Associates, Inc.

  • Anesthesiology Physician
  • Pembroke Pines, FL
  • NPI 1558359547
  NPD (past)
• Anesco Central LLC

  • Anesthesiology Physician
  • Ft Lauderdale, FL
  • NPI 1710975925
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1821053950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 5",
            "address_2": "ANESCO NORTH BROWARD LLC",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 5",
            "address_2": "ANESCO NORTH BROWARD LLC",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-485-5666",
            "fax_number": "954-484-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "RAGHAVENDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME29100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059190400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graziella Agustina Pozzo
• Sandra Prabhu, MD
• Practical Life Strategies Inc.
• Patrice A Prado, B.A.
• Prairiestone Pharmacy LLC
• Mayara Prates Grattao- Eisler
• Linda Ann Pratson, ARNP
• Precision Pathway Therapy Group Corp
• Prefered Medical Equipment Supply
• Preferred Educational & Psychological Services, Inc

• Anesthesiology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.

Verify at the official NPI Registry.