Individual provider Active NPI

Shreya Suman Prabhu, MD

  • Ophthalmology Physician
  • Columbus, OH
National Provider Identifier
1962661512
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.151074 Issued in OH
Practice address
555 S 18TH St Ste 4C
Columbus, OH 43205-2654
Phone
(614) 224-6222
Fax
(614) 241-5232
NPI assigned
Jun 7, 2008
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.151074 OH Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 35151074 OH

Addresses

Primary practice location

555 S 18TH St Ste 4C
Columbus, OH 43205-2654

Mailing address

555 S 18TH St Ste 4C
Columbus, OH 43205-2654
Phone (614) 224-6222

Other practice location 1

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 224-6222

Other practice location 2

1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-4000

Other identifiers 1

IdentifierTypeStateIssuer
0392921MedicaidOH

Other names 1

  • Shreya S Patel Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106000866 OH Practitioner - Ophthalmology 0042467474 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Ophthalmology Associates IncGroup PAC ID 0941291538, 10 clinicians

Practice addresses (Care Compare)

555 S 18TH St
Suite 4C
Columbus, OH 43205-2654
Phone (614) 224-6222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.41 of 100Reported as group
Quality
85.08
Promoting interoperability
95
Improvement activities
40
Cost
78.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.151074OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Children's Specialty Physicians, Inc. Ophthalmology CurrentSince Jan 14, 2024 Accepting new patients
Nationwide Children's Hospital CurrentSince Nov 17, 2024 Accepting new patients
Pediatric Ophthalmology Associates Inc. Ophthalmology CurrentSince Nov 4, 2024 Accepting new patients
Nationwide Children's Hospital CurrentSince Nov 17, 2024 Accepting new patients
Dayton Children's Specialty Physicians, Inc. CurrentSince Oct 29, 2024 Accepting new patients
Children's Surgical Associates, Corporation CurrentSince Nov 17, 2024 Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554

555 S 18th St
Ste 4C
Columbus, OH 43205
Phone (614) 224-6222

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

433 N Cleveland Ave
Ste 2E
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: sprabhu@poa.direct.eyemdemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1962661512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S 18TH ST STE 4C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052654",
            "telephone_number": "614-224-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 18TH ST STE 4C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052654",
            "telephone_number": "614-224-6222",
            "fax_number": "614-241-5232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
            "country_code": "US",
            "telephone_number": "614-224-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Childrens Plz",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454041815",
            "country_code": "US",
            "telephone_number": "937-641-4000",
            "fax_number": "937-641-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRABHU",
        "first_name": "SHREYA",
        "middle_name": "SUMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-07",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.151074",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OH",
            "license": "35151074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392921",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHREYA",
            "last_name": "PATEL",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.