Individual provider Active NPI

Ankineedu Prasad, MD

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1942259205
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
199086 Issued in NY
Practice address
894 Eastern Pkwy
Brooklyn, NY 11213-3618
Phone
(516) 450-0701
Fax
(516) 822-3067
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 199086 NY
Nephrology Physician 207RN0300X 199086 NY Primary

Addresses

Primary practice location

894 Eastern Pkwy
Brooklyn, NY 11213-3618

Mailing address

12 Northumberland Rd
Jericho, NY 11753-2615
Phone (516) 450-0701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20051110000759 NY Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 8921026683 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

894 Eastern Pkwy
Brooklyn, NY 11213-3618
Phone (516) 450-0701

Hospital & facility affiliations

  • Brooklyn Hospital Center - Downtown Campus Hospital, Brooklyn, NY, CCN 330056

Merit-based Incentive Payment System (MIPS)

Final score
43.14 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
90.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, P.C. CurrentSince Sep 15, 2019 Accepting new patients
Prasad Medical Physician P.C Nephrology CurrentSince Nov 3, 2014 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
24 On Physicians, PC CurrentSince Sep 15, 2019 Accepting new patients
Kingsbrook Medical Associates PC Past Accepting new patients
Kingsbrook Medical Associates, PC Past Accepting new patients

Locations

894 Eastern Pkwy
Brooklyn, NY 11213
Phone (516) 450-0701

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: ankineeduprasad@mai.allscriptsdirect.net
  • Direct secure messaging: ankineedu.prasad@prasadmedppc.ehi.direct-ci.com
  • Direct secure messaging: ankineeduprasad@whmc.allscriptsdirect.net

Organizations & group practices 7

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1942259205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 NORTHUMBERLAND RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532615",
            "telephone_number": "516-450-0701",
            "fax_number": "516-822-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133618",
            "telephone_number": "516-450-0701",
            "fax_number": "516-822-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "ANKINEEDU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199086",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "199086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.