Active NPI
Sahil Prasada, M.D.
- Interventional Cardiology Physician
- Raleigh, NC
National Provider Identifier
1912438466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2023-01255
- Practice address
- 4201 Lake Boone TRL Ste 104
Raleigh, NC 27607-7511 - Phone
- (919) 881-0160
- NPI assigned
- Mar 27, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2023-01255 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 2023-01255 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL Ste 104
Raleigh, NC 27607-7511
Mailing address
4201 Lake Boone TRL Ste 104
Raleigh, NC 27607-7511
Phone (919) 881-0160
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sprasada1037782@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906002839 | NC | Practitioner - Interventional Cardiology | 3577836998 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Wake Forest University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4201 Lake Boone TRL
Suite 104
Raleigh, NC 27607-7511
Phone (919) 881-0160
607 Beaman St
Clinton, NC 28328-2603
Phone (910) 592-8511
Hospital & facility affiliations
- Rex Hospital
- Sampson Regional Medical Center
- Unc Health Care Wayne
- Johnston Health
- Betsy Johnson Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 79 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-01255 | NC | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Rex Hospital Inc | Cardiovascular Disease | Current | Accepting new patients |
Locations
603 Beaman St
Ste 501
Clinton, NC 28328
Phone (910) 299-7448
607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
4201 Lake Boone Trl
Ste 104
Raleigh, NC 27607
Phone (919) 881-0160
Interoperability endpoints
- sprasada1037782@direct.unc.nchie.net
Organizations & group practices 3
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.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1912438466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL STE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-881-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL STE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077511",
"telephone_number": "919-881-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASADA",
"first_name": "SAHIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-27",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2023-01255",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "2023-01255",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sprasada1037782@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4201 Lake Boone Trl Ste 104",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077511",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.