Balakrishna R Prabhakar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N 1075 Issued in TX

Practice address

1259 FM 1463 Rd Ste 400
Katy, TX 77494-5480

Phone

(713) 429-4550

Fax

(832) 397-6426

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bprabhakar27010@directhoustonmethodist.org

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Sergio a. Fuenzalida MD Inc.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Monterey Park, CA
  • NPI 1730493198
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1821067778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 N NAVARRO ST STE 600",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041564",
            "telephone_number": "361-485-2695",
            "fax_number": "361-485-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 RD STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945480",
            "telephone_number": "713-429-4550",
            "fax_number": "832-397-6426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 Fm 1463 Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774945480",
            "country_code": "US",
            "telephone_number": "832-695-9400",
            "fax_number": "888-720-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRABHAKAR",
        "first_name": "BALAKRISHNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19872",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N 1075",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "19872",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N 1075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N1075",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BCBS",
            "identifier": "001720356",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000462000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Powell
• Kymani Matthew Powell
• Ashley Powers
• Poyan Rafiei, MD, PLLC
• James Timothy Poysky, PHD
• Prac
• Practiced Surgical Assistants LLC
• Practitioners in Alliance
• Praetorian Medical Group LLC
• Praise Healthcare Services, LLC

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.