Prabhakara Somayaji, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

142353 Issued in NY

Practice address

549 4TH St Ste 1
Niagara Falls, NY 14301-1530

Phone

(716) 285-0853

Fax

(716) 284-2034

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1871682260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 4TH ST STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011530",
            "telephone_number": "716-285-0853",
            "fax_number": "716-284-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 4TH ST STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011530",
            "telephone_number": "716-285-0853",
            "fax_number": "716-284-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMAYAJI",
        "first_name": "PRABHAKARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "142353-1",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "142353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0032916",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELAS",
            "identifier": "040426003520",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1901029",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00624828",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010170301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS WNY",
            "identifier": "000508061001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amya Snyder
• Annette Beth Snyder, R.N.
• Laura Nicole Snyder
• Som Medical Practice PLLC (Niagara Falls Urgent Care)
• Santanu Som, MD, DO
• Alison R Spagnolo, SLP
• Shelby Spengler
• Susan Sperrazza, B.A., L.M.S.W.
• Spine Surgery of Buffalo Niagara LLC
• Latashia Stachura-Lee

• Urology Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.