Active NPI
Prasanth Lingam, M.D.
- Interventional Cardiology Physician
- Hamilton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 35.121968
- Practice address
- 1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2784 - Phone
- (513) 867-3331
- Fax
- (513) 867-2667
- NPI assigned
- Jul 8, 2008
- Last updated
- Jan 18, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-052051 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 35121968 | OH | |
| Interventional Cardiology Physician | 207RI0011X | 35.121968 | OH | Primary |
Addresses
Primary practice location
1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2784
Mailing address
1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2784
Phone (513) 867-3331
Other practice location 1
630 W Main St Ste 105
Wilmington, OH 45177-2171
Phone (937) 283-9888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0089392 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | plingam524374@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of Cincinnati College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Cereal Ave
Suite 207
Hamilton, OH 45013-2772
Phone (513) 867-3331
2449 Ross Millville Rd
Suite 100
Hamilton, OH 45013-8951
Phone (513) 867-3331
3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
630 Eaton Ave
Hamilton, OH 45013-2767
Phone (937) 395-8646
Hospital & facility affiliations
- Fort Hamilton Hughes Memorial Hospital
- Kettering Health Main Campus
- McCullough-Hyde Memorial Hospital
- Kettering Health Dayton
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 28 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-052051 | IL | MD | Internal Medicine Physician |
| 35121968 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Trihealth H LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
5964 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 425-7135
1010 Cereal Ave
Ste 207
Hamilton, OH 45013
Phone (513) 867-3331
2449 Ross Millville Rd
Ste 100
Hamilton, OH 45013
Phone (513) 867-3331
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
3535 Southern Blvd
#1E
Kettering, OH 45429
Phone (937) 395-8124
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
- General Acute Care Hospital
- Oxford, OH
- NPI 1245216183
-
dba Kettering Health Hamilton
- General Acute Care Hospital
- Hamilton, OH
- NPI 1104867167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1912160268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CEREAL AVE",
"address_2": "SUITE 207",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132784",
"telephone_number": "513-867-3331",
"fax_number": "513-867-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CEREAL AVE",
"address_2": "SUITE 207",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450132784",
"telephone_number": "513-867-3331",
"fax_number": "513-867-2667"
}
],
"practiceLocations": [
{
"address_1": "630 W Main St Ste 105",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "OH",
"postal_code": "451772171",
"country_code": "US",
"telephone_number": "937-283-9888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINGAM",
"first_name": "PRASANTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-052051",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35121968",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35.121968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0089392",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "plingam524374@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1010 Cereal Ave",
"address_2": "Suite 207",
"city": "Hamilton",
"state": "OH",
"country_code": "US",
"postal_code": "450132784",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1010 Cereal Ave",
"address_2": "Suite 207",
"city": "Hamilton",
"state": "OH",
"country_code": "US",
"postal_code": "450132784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.