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NITIN K PRABHAKAR MD
NPI 1043700735
Physical Medicine & Rehabilitation - Pain Medicine in San Jose, CA

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
340 NORTHLAKE DR, SAN JOSE, CA 95117(872) 231-3162 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 16, 2023, Oct 28, 2019, May 17, 2018 (3 updates tracked since 2018).

About Nitin K Prabhakar Md NPPES

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

NITIN K PRABHAKAR MD (NPI 1043700735) is an individual pain medicine provider in San Jose, California, licensed in California (164044) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arizona College Of Medicine (2018).

NPPES Registry Identity

NPI1043700735
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameNITIN K PRABHAKARCredential: MD
Location Address340 NORTHLAKE DRSan Jose, CA 95117-1251
Mailing AddressPo Box 7410882Chicago, IL 60674-0882 · (702) 899-0595 · Fax (702) 977-1496
Phone(872) 231-3162
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1043700735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CA · 164044
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License A164044 (CA)
340 NORTHLAKE DR, San Jose, CA 95117
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1450 Broadway St Fl C4Redwood City, CA 94063 · Phone (650) 721-7627
Location 21400 Veterans Blvd Fl 3Redwood City, CA 94063-2612 · Phone (650) 299-4741

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

Nitin K Prabhakar 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 ID3072963057
PECOS Enrollment IDI20240103002919
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

5

Medicare enrollment records show Nitin Prabhakar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
1.9 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000
James Petros, M.D., Inc.
4.8 mi
Physical Medicine & Rehabilitation
14777 LOS GATOS BLVD STE 201
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: James Petros MD Inc
  • 31 clinicians in this Medicare group
NPI 1336448299 (408) 528-8833
San Mateo County
14 mi
Community/Behavioral Health
2415 UNIVERSITY AVE STE 301
East Palo Alto, CA 94303
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Mateo
  • Also billed through NPI 1831268580 (California)
  • 597 clinicians in this Medicare group
NPI 1710086301 (650) 363-4030
Silicon Valley Comprehensive Pain, Inc.
16 mi
Pain Medicine
39141 CIVIC CENTER DR STE 110
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1750061131 (614) 634-6377
Integrated Rehab Consultants California Inc
305 mi
Physical Medicine & Rehabilitation
7716 W MANCHESTER AVE
Playa Del Rey, CA 90293
  • Reassigned Medicare billing, California enrollment
  • 84 clinicians in this Medicare group
NPI 1023449741 (224) 777-8034

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

Other Providers at the Same Location NPPES 6

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

SSC SAN JOSE OPERATING COMPANY LP
Skilled Nursing Facility
340 NORTHLAKE DR
SAN JOSE, CA 95117
Santa Clara County (408) 249-0344
ANTHONY CHEN
Occupational Therapist
340 NORTHLAKE DR
SAN JOSE, CA 95117
Santa Clara County (408) 249-0344
COURTYARD POST ACUTE LLC
Skilled Nursing Facility
340 NORTHLAKE DR
SAN JOSE, CA 95117
Santa Clara County (408) 249-0344
AUSTIN OCAMPO
Occupational Therapist
340 NORTHLAKE DR
SAN JOSE, CA 95117
Santa Clara County (408) 249-0344
LAXMI CHITTALURI PT
Physical Therapist
340 NORTHLAKE DR
SAN JOSE, CA 95117
Santa Clara County (408) 556-2128
CHERYL DEL ROSARIO
Physical Therapy Assistant
340 NORTHLAKE DR
SAN JOSE, CA 95117
Santa Clara County (408) 249-0344

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 Nitin Prabhakar's NPI number?

The NPI number for Nitin Prabhakar is 1043700735. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Nitin Prabhakar located?

Nitin Prabhakar practices at 340 Northlake Dr, San Jose, CA 95117. The listed phone number is (872) 231-3162.

What is Nitin Prabhakar's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Nitin Prabhakar enrolled in Medicare?

Yes. Nitin Prabhakar 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 Nitin Prabhakar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nitin Prabhakar reassigns Medicare benefits to 5 organizations: Permanente Medical Group Inc (Santa Clara, CA), James Petros, M.D., Inc. (Los Gatos, CA), San Mateo County (East Palo Alto, CA), Silicon Valley Comprehensive Pain, Inc. (Fremont, CA) and Integrated Rehab Consultants California Inc (Playa Del Rey, CA). 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 Nitin Prabhakar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nitin Prabhakar was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.