Sujata Prabhu, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A115965 Issued in CA

Practice address

Shiley Eye Ctr
9415 Campus Point Drive
La Jolla, CA 92093-0946

Phone

(858) 534-8858

Fax

(858) 822-0040

NPI assigned

Feb 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

Washington University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Institute of California Medical Group, a California Medical ParGroup PAC ID 4587760749, 76 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1760541569
  Medicare reassignment Care Compare group NPD
• Barry a. Katzman, M.D., Inc Apc

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)
• Paradise Valley Hospital

  • General Acute Care Hospital
  • National City, CA
  • NPI 1598756710
  NPD (past)
• Premiere Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Escondido, CA
  • NPI 1043268840
  NPD (past)
• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • El Cajon, CA
  • NPI 1336641034
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1982872552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SHILEY EYE CTR",
            "address_2": "9415 CAMPUS POINT DRIVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930946",
            "telephone_number": "858-534-8858",
            "fax_number": "858-822-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHILEY EYE CTR",
            "address_2": "9415 CAMPUS POINT DRIVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930946",
            "telephone_number": "858-534-8858",
            "fax_number": "858-822-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHU",
        "first_name": "SUJATA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A115965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Poon
• Alex Jonathan Portillo
• Laura Portner, PHD
• Ali Pourdjabbar, MD
• John Robert Power, MD
• Practical Recovery Psychology Group, Inc.
• Practical Recovery, Inc
• George J. Pratt, PH.D.
• Steven G Pratt, MD
• Carlos Preciado-Ruiz, MD

• Ophthalmology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.