DR. SUMI PRAKASH M.D.
NPI 1063611317
Internal Medicine - Critical Care Medicine in Indianapolis, IN

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment
1801 N SENATE BLVD, SUITE 230, INDIANAPOLIS, IN 46202(317) 962-5820(317) 962-3916 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2019, Feb 5, 2019, Dec 21, 2018 (3 updates tracked since 2018).

About Dr. Sumi Prakash M.d. NPPES

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

DR. SUMI PRAKASH M.D. (NPI 1063611317) is an individual critical care medicine provider in Indianapolis, Indiana, licensed in Indiana (01070939A) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1063611317
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. SUMI PRAKASHCredential: M.D.
Location Address1801 N SENATE BLVD, SUITE 230Indianapolis, IN 46202-1252
Mailing Address250 N Shadeland Ave, Ste 130 Provider EnrollmentIndianapolis, IN 46219-4959
Fax(317) 962-3916
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 17, 2007
Last NPPES UpdateMay 21, 20193 updates tracked since enumeration
NPI 1063611317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in IN · 01070939A Licensed in MO · 2011026860
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2011026860 (MO), 01070939A (IN)
1801 N SENATE BLVD, Indianapolis, IN 46202

Secondary Practice Locations 2

Location 111109 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 266-2020 · Fax (260) 266-2009
Location 21210 Medical Arts Blvd Ste 214Anderson, IN 46011-3439 · Phone (765) 298-4300 · Fax (765) 298-4947

Other Identifiers 2

Medicaid201079490IN
OtherP02198454IN · Medicare Rr

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

Dr. Sumi Prakash M.d. 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 ID4880842194
PECOS Enrollment IDI20210630000821
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.

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
307 services107 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
98 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1801 N SENATE BLVD, STE 3300
INDIANAPOLIS, IN 46202
Anesthesiology
1801 N SENATE BLVD
INDIANAPOLIS, IN 46202
Nurse Practitioner (Gerontology)
1801 N SENATE BLVD, SUITE 635
INDIANAPOLIS, IN 46202
Internal Medicine (Gastroenterology)
1801 N SENATE BLVD, SUITE 400
INDIANAPOLIS, IN 46202
Internal Medicine (Gastroenterology)
1801 N SENATE BLVD, STE 400
INDIANAPOLIS, IN 46202
Physician Assistant
1801 N SENATE BLVD, SUITE 535
INDIANAPOLIS, IN 46202
Internal Medicine
1801 N SENATE BLVD, STE 400
INDIANAPOLIS, IN 46202
Surgery
1801 N SENATE BLVD, SUITE 635
INDIANAPOLIS, IN 46202

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 Sumi Prakash's NPI number?

The NPI number for Sumi Prakash is 1063611317. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Sumi Prakash located?

Sumi Prakash practices at 1801 N Senate Blvd Suite 230, Indianapolis, IN 46202. The listed phone number is (317) 962-5820.

What is Sumi Prakash's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sumi Prakash enrolled in Medicare?

Yes. Sumi Prakash 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.

When was this NPI record last updated?

The NPPES record for Sumi Prakash was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.