SANJANA PRABHU
NPI 1124604616
Pediatrics in Indianapolis, IN
About Sanjana Prabhu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANJANA PRABHU (NPI 1124604616) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01099766A) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Sanjana Prabhu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sanjana Prabhu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Morganton, NC 28655
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Shelby, NC 28150
- Reassigned Medicare billing, North Carolina enrollment
- 1,534 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 46218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sanjana Prabhu's NPI number?
The NPI number for Sanjana Prabhu is 1124604616. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Sanjana Prabhu located?
Sanjana Prabhu practices at 5317 E 16th St, Indianapolis, IN 46218. The listed phone number is (463) 232-7158.
What is Sanjana Prabhu's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Sanjana Prabhu enrolled in Medicare?
Yes. Sanjana Prabhu is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sanjana Prabhu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjana Prabhu reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Morganton, NC) and The Charlotte-Mecklenburg Hospital Authority (Shelby, NC). 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 Sanjana Prabhu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanjana Prabhu accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Sanjana 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.
When was this NPI record last updated?
The NPPES record for Sanjana Prabhu was last updated on August 25, 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.
# Sanjana Prabhu · NPI 1124604616
Pediatrics physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1124604616 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01099766A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5317 E 16TH ST, Indianapolis, IN 46218-4897
- **Phone:** (463) 232-7158
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carolinas Physicians Network Inc (NPI 1962784363, Morganton, NC); The Charlotte-Mecklenburg Hospital Authority (NPI 1225435126, Shelby, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124604616) · Data from the CMS NPPES public registry.