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DR. PRITHIV JOEL PRASAD M.B.B.S.
NPI 1093191967
Internal Medicine - Infectious Disease in New York, NY

Active since August 03, 2015PECOS EnrolledAccepts Medicare Assignment
530 1ST AVE STE 7F, NEW YORK, NY 10016(646) 501-9831(212) 682-9204 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2021, Aug 12, 2020, Jul 3, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Prithiv Joel Prasad M.b.b.s. NPPES

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

DR. PRITHIV JOEL PRASAD M.B.B.S. (NPI 1093191967) is an individual infectious disease provider in New York, New York, licensed in New York (294605) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093191967
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. PRITHIV JOEL PRASADCredential: M.B.B.S.
Location Address530 1ST AVE STE 7FNew York, NY 10016-6402
Mailing Address530 1st AveNew York, NY 10016-6402
Phone(646) 501-9831
Fax(212) 682-9204
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 3, 2015
Last NPPES UpdateMarch 23, 20214 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
✔ NPI 1093191967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 294605
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 294605 (NY)
530 1ST AVE STE 7F, New York, NY 10016
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15504 Old York Road, Albert Einstein Medical Centerphiladelphia, PA 19141 · Phone (215) 456-6679
Location 2550 1st AveNew York, NY 10016 · Phone (212) 263-6400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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. Prithiv Joel Prasad M.b.b.s. 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 ID4183958390
PECOS Enrollment IDI20240604001034
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

3

Medicare enrollment records show Prithiv Prasad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York University
1,039 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964
Sisters Of Providence In Oregon
2,494 mi
Clinic/Center
25 ERICKSON AVENUE
Shady Cove, OR 97539
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Providence Health & Services Oregon
  • 181 clinicians in this Medicare group
NPI 1881770808 (541) 878-3730
Providence Health & Services - Oregon
2,502 mi
Clinic/Center
1111 CRATER LAKE AVE
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 311 clinicians in this Medicare group
NPI 1093976243 (541) 732-5250

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Sky Lakes Medical Center

Acute Care Hospitals · Klamath Falls, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380050
Location2865 Daggett AvenueKlamath Falls, OR 97601 · Klamath County
Emergency services

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 5

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

JEFFREY GREENE M.D.
Internal Medicine (Infectious Disease)
530 1ST AVE STE 7F
NEW YORK, NY 10016
New York County (212) 682-9202
DR. SARAH ELIZABETH HOCHMAN M.D.
Internal Medicine (Infectious Disease)
530 1ST AVE STE 7F
NEW YORK, NY 10016
New York County (212) 682-9202
CATHERINE H VALENTINE MD
Internal Medicine (Infectious Disease)
530 1ST AVE STE 7F
NEW YORK, NY 10016
New York County (646) 501-9831
VANESSA NATALIE RAABE M.D.
Internal Medicine (Infectious Disease)
530 1ST AVE STE 7F
NEW YORK, NY 10016
New York County (646) 501-9831
SHERIF SHOUCRI MD
Internal Medicine (Infectious Disease)
530 1ST AVE STE 7F
NEW YORK, NY 10016
New York County (646) 501-9831

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 Prithiv Prasad's NPI number?

The NPI number for Prithiv Prasad is 1093191967. It was assigned to this individual provider in the NPPES registry on August 3, 2015.

Where is Prithiv Prasad located?

Prithiv Prasad practices at 530 1st Ave Ste 7F, New York, NY 10016. The listed phone number is (646) 501-9831.

What is Prithiv Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Prithiv Prasad enrolled in Medicare?

Yes. Prithiv 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.

Which organizations bill Medicare for Prithiv Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prithiv Prasad reassigns Medicare benefits to 3 organizations: New York University (Boynton Beach, FL), Sisters Of Providence In Oregon (Shady Cove, OR) and Providence Health & Services - Oregon (Medford, OR). 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 Prithiv Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prithiv Prasad accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Prithiv 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 Prithiv Prasad affiliated with any hospitals?

According to CMS data, Prithiv Prasad is affiliated with Asante Three Rivers Medical Center, Asante Rogue Regional Medical Center, Sky Lakes Medical Center and Providence Medford Medical Center.

When was this NPI record last updated?

The NPPES record for Prithiv Prasad was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.