DR. APARNA MADHAVA PRABHU M.D.
NPI 1093943003
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since June 29, 2009PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK RD, ALBERT EINSTEIN MEDICAL CENTER, LEVY 8TH FLOOR, PHILADELPHIA, PA 19141(215) 456-6006 Get Directions Write a Review

NPPES record last updated: June 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Aparna Madhava Prabhu M.d. NPPES

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

DR. APARNA MADHAVA PRABHU M.D. (NPI 1093943003) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD448451) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1093943003
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. APARNA MADHAVA PRABHUCredential: M.D.
Location Address5501 OLD YORK RD, ALBERT EINSTEIN MEDICAL CENTER, LEVY 8TH FLOORPhiladelphia, PA 19141-3018
Mailing Address5501 Old York Rd, Klein 404Philadelphia, PA 19141-3018 · (215) 456-1508 · Fax (215) 456-7308
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJune 29, 2009
Last NPPES UpdateJune 18, 2013
NPI 1093943003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in PA · MD448451
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT194298 (PA)
5501 OLD YORK RD, Philadelphia, PA 19141

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

Dr. Aparna Madhava Prabhu 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 ID8628211166
PECOS Enrollment IDI20130830000373
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 7

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
41 services20 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.
33 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services15 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
13 services13 patients
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.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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.

General Acute Care Hospital
5501 OLD YORK RD
PHILA, PA 19141
Skilled Nursing Facility
5501 OLD YORK RD
PHILA, PA 19141
Rehabilitation Unit
5501 OLD YORK RD
PHILA, PA 19141
Nurse Practitioner (Adult Health)
5501 OLD YORK RD, BRAEMER BLDG 2ND FLOOR
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD, KORMAN B-6
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD, KORMAN BUILDING, B2
PHILADELPHIA, PA 19141
Emergency Medicine
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Pathology (Anatomic Pathology & Clinical Pathology)
5501 OLD YORK RD, TOWER BUILDING, GRND. FLOOR
PHILADELPHIA, PA 19141

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 Aparna Prabhu's NPI number?

The NPI number for Aparna Prabhu is 1093943003. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Aparna Prabhu located?

Aparna Prabhu practices at 5501 Old York Rd Albert Einstein Medical Center, Levy 8th Floor, Philadelphia, PA 19141. The listed phone number is (215) 456-6006.

What is Aparna Prabhu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Aparna Prabhu enrolled in Medicare?

Yes. Aparna Prabhu 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 Aparna Prabhu accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Aparna Prabhu 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 Aparna Prabhu affiliated with any hospitals?

According to CMS data, Aparna Prabhu is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Aparna Prabhu was last updated on June 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.