DR. PRASANTH PRABHAKARAN MD
NPI 1043458664
Hospitalist in Carnegie, PA
About Dr. Prasanth Prabhakaran Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRASANTH PRABHAKARAN MD (NPI 1043458664) is an individual hospitalist provider in Carnegie, Pennsylvania, licensed in Pennsylvania (MD475696) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS, is affiliated with St Clair Hospital, and maintains a secondary practice location in Wexford.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Prasanth Prabhakaran 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.
Medicare Billing Reassignments
4Medicare enrollment records show Prasanth Prabhakaran reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carnegie, PA 15106
- Reassigned Medicare billing, Pennsylvania enrollment
- 110 clinicians in this Medicare group
Pittsburgh, PA 15243
- Reassigned Medicare billing, Pennsylvania enrollment
- 133 clinicians in this Medicare group
Pittsburgh, PA 15220
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Wellsburg, WV 26070
- Reassigned Medicare billing, West Virginia enrollment
- 502 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Clair Hospital
Acute Care Hospitals · Pittsburgh, PAWheeling Hospital, Inc
Acute Care Hospitals · Wheeling, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CARNEGIE, PA 15106
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 Prasanth Prabhakaran's NPI number?
The NPI number for Prasanth Prabhakaran is 1043458664. It was assigned to this individual provider in the NPPES registry on February 4, 2009.
Where is Prasanth Prabhakaran located?
Prasanth Prabhakaran practices at 2375 Greentree Rd, Carnegie, PA 15106. The listed phone number is (412) 531-2902.
What is Prasanth Prabhakaran's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Prasanth Prabhakaran enrolled in Medicare?
Yes. Prasanth Prabhakaran 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.
Which organizations bill Medicare for Prasanth Prabhakaran's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prasanth Prabhakaran reassigns Medicare benefits to 4 organizations: Preferred Primary Care Physicians, Inc. (Carnegie, PA), St Clair Professional Services Inc (Pittsburgh, PA), Allegheny Clinic (Pittsburgh, PA) and Wheeling Hospital, Inc. (Wellsburg, WV). 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 Prasanth Prabhakaran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prasanth Prabhakaran accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Prasanth Prabhakaran 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 Prasanth Prabhakaran affiliated with any hospitals?
According to CMS data, Prasanth Prabhakaran is affiliated with St Clair Hospital and Wheeling Hospital, Inc.
When was this NPI record last updated?
The NPPES record for Prasanth Prabhakaran was last updated on July 6, 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.
# Dr. Prasanth Prabhakaran, MD · NPI 1043458664
Hospitalist physician in Carnegie, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 4, 2009.
## Identity
- **NPI:** 1043458664 (Entity type: Individual)
- **Enumerated:** February 4, 2009
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD475696 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2375 GREENTREE RD, Carnegie, PA 15106-4203
- **Phone:** (412) 531-2902 · **Fax:** (412) 531-2948
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Preferred Primary Care Physicians, Inc. (NPI 1194912600, Carnegie, PA); St Clair Professional Services Inc (NPI 1326712050, Pittsburgh, PA); Allegheny Clinic (NPI 1134555113, Pittsburgh, PA); Wheeling Hospital, Inc. (NPI 1750531984, Wellsburg, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** July 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1043458664) · Data from the CMS NPPES public registry.