LATHA PRASANNAN MD
NPI 1013947043
Pediatrics - Pediatric Hematology-Oncology in San Antonio, TX

Q: What is Latha Prasannan's NPI number?

The NPI number for Latha Prasannan is 1013947043. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Latha Prasannan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Latha Prasannan was last updated on June 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 04, 2006PECOS Enrolled

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2025, Jan 27, 2022, Dec 22, 2020 (3 updates tracked since 2020).

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About Latha Prasannan Md NPPES

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

LATHA PRASANNAN MD (NPI 1013947043) is an individual pediatric hematology-oncology provider in San Antonio, Texas, licensed in Texas (L6145) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Temple.

NPPES Registry Identity

NPI1013947043

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameLATHA PRASANNANCredential: MD

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address333 N Santa RosaSan Antonio, TX 78207-3108 · (210) 704-3030

Phone(210) 704-3030

Sole ProprietorNo

Enumeration DateJuly 4, 2006

Last NPPES UpdateJune 6, 20253 updates tracked since enumeration

NPPES CertifiedJune 6, 2025

✔ NPI 1013947043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in TX · L6145

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

333 N SANTA ROSA, San Antonio, TX 78207

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Secondary Practice Location 1

Location 11901 SW H K Dodgen LoopTemple, TX 76502-1814 · Phone (254) 724-5437 · Fax (254) 935-4111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latha Prasannan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 20

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

SOFIA SILVER COOK MD

Pediatrics (Pediatric Emergency Medicine)