ARVIND PRABHAT MD
NPI 1003910472
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Shrewsbury, NJ

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
1131 BROAD ST STE 103, SHREWSBURY, NJ 07702(732) 389-3388(732) 389-3389 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arvind Prabhat Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARVIND PRABHAT MD (NPI 1003910472) is an individual otolaryngology/facial plastic surgery provider in Shrewsbury, New Jersey, licensed in New Jersey (25MA07392400) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Js Weill Medical College, Cornell University (1992).

NPPES Registry Identity

NPI1003910472
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameARVIND PRABHATCredential: MD
Location Address1131 BROAD ST STE 103Shrewsbury, NJ 07702-4334
Mailing Address660 White Plains Rd Fl 4Tarrytown, NY 10591-5139 · (914) 984-2546
Fax(732) 389-3389
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1992
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJanuary 24, 2019
NPI 1003910472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in NJ · 25MA07392400
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 25MA06592400 (NJ)
1131 BROAD ST STE 103, Shrewsbury, NJ 07702

Other Identifiers 1

Medicaid8900701NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Arvind Prabhat Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678617420
PECOS Enrollment IDI20100218000125
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
539 services412 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
398 services291 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
241 services206 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
214 services214 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
114 services98 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services70 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims66 services$1.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
1131 BROAD ST STE 103
SHREWSBURY, NJ 07702
Audiologist
1131 BROAD ST STE 103
SHREWSBURY, NJ 07702
Audiologist
1131 BROAD ST STE 103
SHREWSBURY, NJ 07702
Audiologist
1131 BROAD ST STE 103
SHREWSBURY, NJ 07702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arvind Prabhat's NPI number?

The NPI number for Arvind Prabhat is 1003910472. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Arvind Prabhat located?

Arvind Prabhat practices at 1131 Broad St Ste 103, Shrewsbury, NJ 07702. The listed phone number is (732) 389-3388.

What is Arvind Prabhat's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Arvind Prabhat enrolled in Medicare?

Yes. Arvind Prabhat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Arvind Prabhat affiliated with any hospitals?

According to CMS data, Arvind Prabhat is affiliated with Riverview Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Arvind Prabhat was last updated on January 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.