NPIMap

Individual provider Active NPI

Anju Susan Prasad, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Branson, MO
National Provider Identifier
1992069736
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2017014155 Issued in MO
Practice address
121 Cahill Rd Ste 201
Branson, MO 65616-1911
Phone
(417) 348-8990
Fax
(417) 348-8090
NPI assigned
Jun 26, 2012
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2017014155 MO Primary

Addresses

Primary practice location

121 Cahill Rd Ste 201
Branson, MO 65616-1911

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180126002458 MO Practitioner - Endocrinology 1759684160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 5799787784, 240 clinicians

Practice addresses (Care Compare)

1601 Branson Hills Pkwy
Suite 110
Branson, MO 65616-9821
Phone (417) 348-8990

960 E Walnut Lawn
201 Adult Medicine and Endocrinology Speciali
Springfield, MO 65807-7865
Phone (417) 269-4450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
76.32
Promoting interoperability
100
Improvement activities
40
Cost
81.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017014155MOMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Oct 22, 2021 Accepting new patients
Skaggs Community Hospital Association Endocrinology, Diabetes & Metabolism CurrentSince Dec 26, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Oct 22, 2021 Accepting new patients
Skaggs Community Hospital Association CurrentSince Dec 26, 2017 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

1150 State Highway 248
Ste 102
Branson, MO 65616
Phone (417) 335-7555

121 Cahill Rd
Ste 201
Branson, MO 65616
Phone (417) 335-7555

1601 Branson Hills Pkwy
Ste 110
Branson, MO 65616
Phone (417) 348-8990

960 E Walnut Lawn St
Ste 201
Springfield, MO 65807
Phone (417) 269-4450

Organizations & group practices 6

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 8

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1992069736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CAHILL RD STE 201",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656161911",
            "telephone_number": "417-348-8990",
            "fax_number": "417-348-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "ANJU",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2017014155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.