Individual provider Active NPI

Prakash N Nayak, MD

  • Anesthesiology Physician
  • Pottsville, PA
National Provider Identifier
1922080167
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD417844 Issued in PA
Practice address
420 Jackson St
Pottsville, PA 17901
Phone
(570) 346-7797
Fax
(570) 342-9802
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD417844 PA Primary

Addresses

Primary practice location

420 Jackson St
Pottsville, PA 17901

Mailing address

PO Box 390
Scranton, PA 18501
Phone (570) 346-7797

Other identifiers 3

IdentifierTypeStateIssuer
01907963MedicaidPA
P00134546OtherPARR MEDICARE
050088257OtherPARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000056 PA Practitioner - Anesthesiology 1850470907 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Pain and Primary Care IncGroup PAC ID 7315851565, 7 clinicians
Apollo Medical Group of Pennsylvania LLCGroup PAC ID 4486180049, 21 clinicians

Practice addresses (Care Compare)

1146 S Cedar Crest Blvd
FL 2
Allentown, PA 18103-7938
Phone (610) 366-9000

2851 Baglyos Cir
Suite 100
Bethlehem, PA 18020-8038
Phone (484) 821-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD417844PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pottsville PA Endoscopy ASC LP Current Accepting new patients
KP Anesthesia, PC CurrentSince Mar 1, 2016 Accepting new patients
Northeastern Anesthesia Physicians P.C. Anesthesiology CurrentSince May 5, 2024 Accepting new patients
Tilden Ambulatory Surgery Center, LLC CurrentSince Apr 1, 2022 Accepting new patients
Lehigh Valley Pain & Primary Care Inc. Anesthesiology CurrentSince May 1, 2023 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Jan 3, 2018 Accepting new patients
Apollo Medical Group of Pennsylvania LLC Anesthesiology CurrentSince Jan 2, 2025 Accepting new patients
The Pottsville PA Endoscopy ASC LP Anesthesiology CurrentSince Sep 1, 2009 Accepting new patients
Rgal Anesthesia Services LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Lehigh Anesthesia Associates, P.C. Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Anthracite Anesthesia Consultants, LLC CurrentSince May 1, 2023 Accepting new patients
Roxbury Anesthesia, LLC Anesthesiology Past Accepting new patients
Ridley Crossings Surgical Center Past Accepting new patients

Locations (25 of 33)

400 10th St E
Waconia, MN 55387

4825 W Tilghman St
Allentown, PA 18104
Phone (610) 821-4950

24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372

1146 S Cedar Crest Blvd
Fl 2
Allentown, PA 18103

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

5201 Hamilton Blvd
Allentown, PA 18106
Phone (610) 395-3659

2851 Baglyos Cir
Ste 100
Bethlehem, PA 18020
Phone (484) 821-0550

95 Highland Ave
Ste 100
Bethlehem, PA 18017
Phone (610) 868-8600

1553 Chester Pike
Ste 102
Crum Lynne, PA 19022
Phone (484) 487-0369

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

61 Industrial Dr
Hamburg, PA 19526
Phone (570) 617-7024

10 Park Pl
Hazle Township, PA 18202
Phone (570) 454-1400

1062 N Church St
Hazle Township, PA 18202
Phone (570) 459-5102

1060 N Church St
Hazle Township, PA 18202
Phone (570) 459-9927

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

490 Northampton St
Kingston, PA 18704
Phone (570) 288-8100

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

790 Newtown Yardley Rd
Ste 415
Newtown, PA 18940
Phone (215) 579-2004

2000 Grant Ave
Philadelphia, PA 19115
Phone (215) 992-6000

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

20 N Sunnybrook Rd
Ste 2
Pottstown, PA 19464
Phone (484) 374-2600

48 Tunnel Rd
Ste 103
Pottsville, PA 17901
Phone (570) 622-6520

201 E Laurel Blvd
Pottsville, PA 17901
Phone (570) 328-4444

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1922080167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18501",
            "telephone_number": "570-346-7797",
            "fax_number": "570-342-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JACKSON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-346-7797",
            "fax_number": "570-342-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "PRAKASH",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD417844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01907963",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00134546",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "050088257",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.