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

SANJANA PRABHU
NPI 1124604616
Pediatrics in Indianapolis, IN

Active since March 23, 2021PECOS Enrolled
5317 E 16TH ST, INDIANAPOLIS, IN 46218(463) 232-7158 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Feb 12, 2025, Mar 24, 2021 (3 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 Indianapolis, Indiana, licensed in Indiana (01099766A) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124604616
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSANJANA PRABHU
Location Address5317 E 16TH STIndianapolis, IN 46218-4897
Mailing Address5317 E 16th StIndianapolis, IN 46218-4897
Phone(463) 232-7158
Sole ProprietorNo
Enumeration DateMarch 23, 2021
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ 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 IN · 01099766A
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.
5317 E 16TH ST, Indianapolis, IN 46218
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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 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 8

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

JPCHC PHARMACY LLC
Pharmacy
5317 E 16TH ST
INDIANAPOLIS, IN 46218
Marion County (317) 934-0778
KRISTY SALINAS LCSW
Social Worker (Clinical)
5317 E 16TH ST
INDIANAPOLIS, IN 46218
Marion County (317) 552-0670
JESSICA LAUMANN LCSW
Social Worker (Clinical)
5317 E 16TH ST
INDIANAPOLIS, IN 46218
Marion County (317) 552-0670
TWAAMBO SITUMBEKO RN, FNP
Nurse Practitioner (Family)
5317 E 16TH ST
INDIANAPOLIS, IN 46218
Marion County (317) 552-0670
BRANNON WALSMITH HART HSPP
Psychologist (Health Service)
5317 E 16TH ST
INDIANAPOLIS, IN 46218
Marion County (317) 355-3700
RUSSELL L JUDD M.D.
Specialist
5317 E 16TH ST, STE 5
INDIANAPOLIS, IN 46218
Marion County (317) 322-8384
DR. JASON HUA D.D.S
Dentist
5317 E 16TH ST
INDIANAPOLIS, IN 46218
Marion County (317) 236-6147
CLAIRE CATHERINE MOORE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5317 E 16TH ST
INDIANAPOLIS, IN 46218
Marion County (463) 232-7158

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.

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 August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.