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PROF. KONDRAGUNTA RAJENDRA PRASAD MD
NPI 1033808498
Transplant Surgery in Milwaukee, WI

Active since May 02, 2023PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVENUE, MILWAUKEE, WI 53226(414) 805-6400(414) 955-0213 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, May 2, 2023 (2 updates tracked since 2023).

About Prof. Kondragunta Rajendra Prasad Md NPPES

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

PROF. KONDRAGUNTA RAJENDRA PRASAD MD (NPI 1033808498) is an individual transplant surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (9-876) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1033808498
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NamePROF. KONDRAGUNTA RAJENDRA PRASADCredential: MD
Location Address9200 W WISCONSIN AVENUEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AvenueMilwaukee, WI 53226-3522 · (414) 805-6400 · Fax (414) 955-0213
Phone(414) 805-6400
Fax(414) 955-0213
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 2, 2023
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1033808498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in WI · 9-876
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 9-876 (WI)
9200 W WISCONSIN AVENUE, Milwaukee, WI 53226
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Secondary Practice Location 1

Location 1900 N 92nd StMilwaukee, WI 53226-1202 · Phone (414) 805-6079

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground 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 and accepts Medicare assignment

Prof. Kondragunta Rajendra Prasad 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 ID42676975
PECOS Enrollment IDI20230519000933
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.

Hospital Affiliations CMS Care Compare

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

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

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.

DR. MARK WALTER BOSBOUS
Plastic Surgery
9200 W WISCONSIN AVENUE, PLASTIC SURGERY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. BRIAN ROBERTSON-DICK MD
Physical Medicine & Rehabilitation
9200 W WISCONSIN AVENUE, PHYSICAL MEDICINE AND REHABILITATION
MILWAUKEE, WI 53226
Milwaukee County (414) 805-7342
SUPATRA A AGARWAL AA
Anesthesiologist Assistant
9200 W WISCONSIN AVENUE, DEPARTMENT OF ANESTHESIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-8700
DR. PRERNA RAJ PANDYA M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
9200 W WISCONSIN AVENUE, UROGYNECOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
SHERVIN MIRSHAHI M.D.
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-2060
JING QI MD
Radiology (Diagnostic Radiology)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-2060
MR. BRIAN G CARLSON MSN
Nurse Practitioner (Acute Care)
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3750
GOKULAKRISHNAN BALASUBRAMANIAN M.D.
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVENUE, DIVISION OF GASTROENTEROLOGY
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3310

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 Kondragunta Prasad's NPI number?

The NPI number for Kondragunta Prasad is 1033808498. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Kondragunta Prasad located?

Kondragunta Prasad practices at 9200 W Wisconsin Avenue, Milwaukee, WI 53226. The listed phone number is (414) 805-6400.

What is Kondragunta Prasad's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Kondragunta Prasad enrolled in Medicare?

Yes. Kondragunta Prasad 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.

What insurance does Kondragunta Prasad accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Kondragunta 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 Kondragunta Prasad affiliated with any hospitals?

According to CMS data, Kondragunta Prasad is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Kondragunta Prasad was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.