Raj Larry Prabhakar, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO4332 Issued in FL

Practice address

4889 S Congress Ave Ste 201
Palm Springs, FL 33461-4764

Phone

(561) 360-2340

Fax

(561) 516-6630

NPI assigned

Oct 22, 2020

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Podiatry Group Inc.Group PAC ID 0042252140, 42 clinicians

Integrative Foot and Ankle LLCGroup PAC ID 5496902611, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• All Podiatry Group Inc

  dba Evolve Health

  • Podiatrist
  • Winter Garden, FL
  • NPI 1437207933
  Medicare reassignment Care Compare group NPD
• Integrative Foot and Ankle LLC

  • Podiatrist
  • West Palm Beach, FL
  • NPI 1386910305
  Medicare reassignment Care Compare group
• Prabhakar Podiatry LLC

  • Podiatric Clinic/Center
  • Virginia Gardens, FL
  • NPI 1093545824
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1952900649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 SHADDOCK DR STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875773",
            "telephone_number": "407-605-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 S CONGRESS AVE STE 201",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334614764",
            "telephone_number": "561-360-2340",
            "fax_number": "561-516-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1025 Military Trl Ste 208",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587040",
            "country_code": "US",
            "telephone_number": "561-781-5062",
            "fax_number": "561-516-7528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRABHAKAR",
        "first_name": "RAJ",
        "middle_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4332",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianelis Pinillo Garrido
• Ramon Pinto-Fuentes, APRN
• Pisani's Orthotics and Prosthetics, Inc.
• Planting Seeds Recovery
• Catherine Marie Porter
• Heather Pratt, RPH
• Precision Laboratories, LLC
• Premier Revenue Solutions LLC
• Prevent RX
• Prime Care of Palm Beach P.L.

• Podiatrist in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.

Verify at the official NPI Registry.