Active NPI
Mridula Prasad MD PC
- Psychiatry Physician
- Munster, IN
National Provider Identifier
1891822268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MRIDULA PRASAD MD PC
- Practice address
- 9250 Columbia Ave Ste 1C
Munster, IN 46321-3530 - Phone
- (219) 836-0039
- Fax
- (219) 836-0288
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mridula Prasad, M.D.
- Title
- Owner
- Phone
- (219) 836-0039
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | IN | ||
| Psychiatry Physician | 2084P0800X | IN | Primary |
Addresses
Primary practice location
9250 Columbia Ave Ste 1C
Munster, IN 46321-3530
Mailing address
9250 Columbia Ave Ste 1C
Munster, IN 46321-3530
Phone (219) 836-0039
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000103391 | Other | IN | BCBS IN |
| 91108099 | Other | BCBS IL |
National Provider Directory
National Provider DirectoryLocations
9250 Columbia Ave
Ste 1C
Munster, IN 46321
Phone (219) 513-9443
9250 Columbia Ave
Ste C12ND
Munster, IN 46321
Phone (219) 836-0039
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Munster, IN
- NPI 1578524898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1891822268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE STE 1C",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213530",
"telephone_number": "219-836-0039",
"fax_number": "219-836-0288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE STE 1C",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213530",
"telephone_number": "219-836-0039",
"fax_number": "219-836-0288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MRIDULA PRASAD MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PRASAD",
"authorized_official_first_name": "MRIDULA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-836-0039",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IN",
"identifier": "000000103391",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "91108099",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.