DR. SUNIL M PRASAD M.D.
NPI 1033298468
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bethesda, MD

Active since November 05, 2006PECOS Enrolled
96.36/100
CMS Quality Rating
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814(301) 896-3100 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2024, Jun 13, 2023, Nov 9, 2016 (3 updates tracked since 2016).

About Dr. Sunil M Prasad M.d. NPPES

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

DR. SUNIL M PRASAD M.D. (NPI 1033298468) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Bethesda, Maryland, licensed in Maryland (D0095295) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Suburban Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033298468
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. SUNIL M PRASADCredential: M.D.
Location Address8600 OLD GEORGETOWN RDBethesda, MD 20814-1422
Mailing Address6201 Greenleigh Ave Fl 2Middle River, MD 21220-2004 · (410) 933-2704
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1998
Enumeration DateNovember 5, 2006
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1033298468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in MD · D0095295✔ Licensed in NY · 283343
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
8600 OLD GEORGETOWN RD, Bethesda, MD 20814

Secondary Practice Locations 2

Location 1601 Elmwood Ave, Box SURGRochester, NY 14642-8410 · Phone (585) 275-6964 · Fax (585) 276-1478
Location 21415 Portland Ave Ste 240Rochester, NY 14621-3022 · Phone (585) 922-3260

Other Identifiers 1

Medicaid04386605NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sunil M Prasad M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800978537
PECOS Enrollment IDI20100604000801, I20220921002191, I20230821000841, I20240830001648, I20241114002530
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.

Medicare Billing Reassignments

12

Medicare enrollment records show Sunil Prasad reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Multi-Specialty
4102 WILSON BLVD
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • Also billed through NPI 1780665315 (District of Columbia)
  • 80 clinicians in this Medicare group
Obstetrics & Gynecology
121 S MAIN ST
Warsaw, NY 14569
  • Reassigned Medicare billing, New York enrollment
  • 1,030 clinicians in this Medicare group
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
601 ELMWOOD AVE, BOX SURG
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 35 clinicians in this Medicare group
Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
81 LAKE AVE, EVELYN BRANDON HEALTH CENTER
Rochester, NY 14608
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
Emergency Medicine
3635 VISTA AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 194 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
625 S NEW BALLAS RD, SUITE R-7040
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

St Joseph's Hospital Health Center

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330140
Location301 Prospect AvenueSyracuse, NY 13203 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

96.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.23
Promoting Interoperability100
Improvement Activities40

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.

Plastic Surgery
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Thoracic Surgery (Cardiothoracic Vascular Surgery)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Nurse Practitioner (Family)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
General Acute Care Hospital
8600 OLD GEORGETOWN RD, SUBURBAN HOSPITAL
BETHESDA, MD 20814
Physician Assistant
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Emergency Medicine (Pediatric Emergency Medicine)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Internal Medicine (Critical Care Medicine)
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814
Physician Assistant
8600 OLD GEORGETOWN RD
BETHESDA, MD 20814

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 Sunil Prasad's NPI number?

The NPI number for Sunil Prasad is 1033298468. It was assigned to this individual provider in the NPPES registry on November 5, 2006.

Where is Sunil Prasad located?

Sunil Prasad practices at 8600 Old Georgetown Rd, Bethesda, MD 20814. The listed phone number is (301) 896-3100.

What is Sunil Prasad's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Sunil Prasad enrolled in Medicare?

Yes. Sunil Prasad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sunil Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Prasad reassigns Medicare benefits to 12 organizations: Johns Hopkins University (Bethesda, MD), Johns Hopkins University (Arlington, VA), Western New York Medical Practice PC (Warsaw, NY), Rochester General Hospital (Rochester, NY), University Cardiothoracic Surgery Group (Rochester, NY) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunil Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Prasad accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Sunil Prasad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sunil Prasad affiliated with any hospitals?

According to CMS data, Sunil Prasad is affiliated with Suburban Hospital, Mercy Hospital Springfield, Presbyterian Hospital and St Joseph's Hospital Health Center.

When was this NPI record last updated?

The NPPES record for Sunil Prasad was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.