SUSHAMA PRASAD APRN
NPI 1093254385
Internal Medicine in Philadelphia, PA

Active since February 20, 2017PECOS EnrolledAccepts Medicare Assignment
1331 E WYOMING AVE, PHILADELPHIA, PA 19124(215) 707-1622 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2026, Apr 22, 2026, Mar 26, 2026 and 2 more (5 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 internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP035304) 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 Taxonomy207R00000X
Provider Legal NameSUSHAMA PRASADCredential: APRN
Location Address1331 E WYOMING AVEPhiladelphia, PA 19124-3808
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 UpdateJune 10, 20265 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
NPI 1093254385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · SP035304
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License SP035304 (PA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 9262181 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9262181 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 234569 (LA)
1331 E WYOMING AVE, Philadelphia, PA 19124

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sushama Prasad Aprn 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 ID9931486115
PECOS Enrollment IDI20250221000017
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19124 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Pharmacist
1331 E WYOMING AVE, PHARMACY & NUTRITION SHOPPE
PHILADELPHIA, PA 19124
Internal Medicine (Hematology & Oncology)
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Respiratory Therapist, Registered
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Pharmacy
1331 E WYOMING AVE
PHILA, PA 19124
Social Worker (Clinical)
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Dietitian, Registered
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Anesthesiology
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Physical Therapist
1331 E WYOMING AVE, SUITE 4120
PHILADELPHIA, PA 19124

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 1331 E Wyoming Ave, Philadelphia, PA 19124. The listed phone number is (215) 707-1622.

What is Sushama Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sushama Prasad enrolled in Medicare?

Yes. Sushama 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.

What insurance does Sushama Prasad accept?

Health plans from HMO Louisiana 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 June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.