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SANJANA PRABHU
NPI 1124604616
Pediatrics in Concord, NC

Active since March 23, 2021PECOS Enrolled
1085 NE GATEWAY CT NE STE 290, CONCORD, NC 28025(704) 403-4650 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Mar 24, 2021 (2 updates tracked since 2021).

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 Concord, North Carolina, licensed in North Carolina (2024-02039) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Huntersville.

NPPES Registry Identity

NPI1124604616
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANJANA PRABHU
Location Address1085 NE GATEWAY CT NE STE 290Concord, NC 28025-2412
Mailing AddressPo Box 602344Charlotte, NC 28260-2344 · (704) 403-4650
Phone(704) 403-4650
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1124604616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 2024-02039
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1085 NE GATEWAY CT NE STE 290, Concord, NC 28025
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Secondary Practice Location 1

Location 19625 Northcross Center CtHuntersville, NC 28078-7348 · Phone (704) 801-3450

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanjana Prabhu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

ALLYSON BIAS-DZIERZAK MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1085 NE GATEWAY CT NE STE 290
CONCORD, NC 28025
Cabarrus County (704) 403-4650

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 1085 NE Gateway Ct NE Ste 290, Concord, NC 28025. The listed phone number is (704) 403-4650.

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.

What insurance does Sanjana Prabhu accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer 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 February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.