Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSHAMA PRASAD APRN
NPI 1093254385
Nurse Practitioner - Adult Health in South Miami, FL

Active since February 20, 2017PECOS Enrolled
6855 S RED RD, SOUTH MIAMI, FL 33143(786) 527-9830 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2026, Apr 30, 2026, Apr 22, 2026 and 3 more (6 updates tracked since 2017).

About Sushama Prasad Aprn NPPES

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

SUSHAMA PRASAD APRN (NPI 1093254385) is an individual adult health provider in South Miami, Florida, licensed in Florida (APRN9262181) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coral Gables, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093254385
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSHAMA PRASADCredential: APRN
Location Address6855 S RED RDSouth Miami, FL 33143-3647
Mailing Address6855 S Red RdSouth Miami, FL 33143-3647 · (786) 527-9810 · Fax (786) 235-6251
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 20, 2017
Last NPPES UpdateOctober 2, 20266 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1093254385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN9262181
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License SP035304 (PA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9262181 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 234569 (LA)
6855 S RED RD, South Miami, FL 33143

Secondary Practice Location 1

Location 16855 S Red Rd Fl 33143Coral Gables, FL 33143-3647 · Phone (786) 527-9810 · Fax (786) 235-6251

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushama Prasad Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931486115
PECOS Enrollment IDI20260504005002
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

4

Medicare enrollment records show Sushama Prasad reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4945 LAPALCO BLVD STE 200
Marrero, LA 70072
  • Reassigned Medicare billing, Louisiana enrollment
  • 291 clinicians in this Medicare group
Internal Medicine
LCMC PAYOR ENROLLMENT, 1100 POYDRAS ST, SUITE 2500
New Orleans, LA 70163
  • Reassigned Medicare billing, Louisiana enrollment
  • 313 clinicians in this Medicare group
General Acute Care Hospital
624 HOSPITAL DR
Mountain Home, AR 72653
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
Family Medicine
1700 N BROAD ST
Philadelphia, PA 19121
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 6

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

Clinic/Center (Multi-Specialty)
6855 S RED RD
SOUTH MIAMI, FL 33143
General Acute Care Hospital
6855 S RED RD
SOUTH MIAMI, FL 33143
Nurse Practitioner (Family)
6855 S RED RD
SOUTH MIAMI, FL 33143
Nurse Practitioner (Acute Care)
6855 S RED RD
SOUTH MIAMI, FL 33143
Nurse Practitioner (Acute Care)
6855 S RED RD
SOUTH MIAMI, FL 33143
Nurse Practitioner (Acute Care)
6855 S RED RD
SOUTH MIAMI, FL 33143

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 Sushama Prasad's NPI number?

The NPI number for Sushama Prasad is 1093254385. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Where is Sushama Prasad located?

Sushama Prasad practices at 6855 S Red Rd, South Miami, FL 33143. The listed phone number is (786) 527-9830.

What is Sushama Prasad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sushama Prasad enrolled in Medicare?

Yes. Sushama Prasad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sushama Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushama Prasad reassigns Medicare benefits to 4 organizations: New Orleans Physician Services Inc (Marrero, LA), East Jefferson Physicians Group LLC (New Orleans, LA), Baxter County Regional Hospital Inc (Mountain Home, AR) and Temple Faculty Practice Plan Inc (Philadelphia, PA). 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 Sushama Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushama Prasad accept?

Health plans from HMO Louisiana and Molina Healthcare list Sushama 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.

When was this NPI record last updated?

The NPPES record for Sushama Prasad was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.