SANJIV PRASAD MD
NPI 1164417523
Internal Medicine - Cardiovascular Disease in Springfield, NJ

Q: What is Sanjiv Prasad's NPI number?

The NPI number for Sanjiv Prasad is 1164417523. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Q: What is Sanjiv Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Sanjiv Prasad was last updated on May 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment

211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE LLC, SPRINGFIELD, NJ 07081(973) 467-0005(973) 912-8989 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sanjiv Prasad Md NPPES

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

SANJIV PRASAD MD (NPI 1164417523) is an individual cardiovascular disease provider in Springfield, New Jersey, licensed in New Jersey (25MA07221700) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of New York Medical College (1995).

NPPES Registry Identity

NPI1164417523

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSANJIV PRASADCredential: MD

Location Address211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE LLCSpringfield, NJ 07081-2221

Mailing AddressPo Box 416457, Practice Associates Medical GroupBoston, MA 02241-6457 · (973) 656-6280 · Fax (973) 290-7495

Phone(973) 467-0005

Fax(973) 912-8989

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1995

Enumeration DateSeptember 13, 2005

Last NPPES UpdateMay 9, 2013

✔ NPI 1164417523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NJ · 25MA07221700

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

211 MOUNTAIN AVE, Springfield, NJ 07081

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Other Identifiers 4

Medicare UPING90494

Medicaid0270911NJ

Medicare PIN067749U77NJ

Medicare ID-Type Unspecified067749QKFNJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Sanjiv Prasad Md 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 ID9436102670

PECOS Enrollment IDI20050228000491

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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

825 services703 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

503 services289 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.

394 services226 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

291 services287 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

187 services184 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

173 services173 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

160 services126 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

144 services144 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

142 services141 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.

77 services56 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

76 services74 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.

60 services48 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

48 services48 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

35 services31 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

33 services33 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

29 services29 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

25 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.

24 services24 patients

Ultrasound scan of abdominal aorta 76706

An ultrasound scan of the abdominal aorta is a non-invasive imaging test. It uses sound waves to create pictures of the main blood vessel in your abdomen, the aorta, to check its size and shape. This helps detect any abnormalities or issues early.

20 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

18 services18 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

15 services15 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

12 services12 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310028

Location175 High StNewton, NJ 07860 · Sussex County

Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310051

Location99 Beauvoir AvenueSummit, NJ 07901 · Union County

Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310076

Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07081 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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 14

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

ROBERT DANIEL FISHBERG MD

Internal Medicine (Cardiovascular Disease)

211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE LLC
SPRINGFIELD, NJ 07081

Union County (973) 467-0005

DAVID EGGER POWELL MD

Internal Medicine (Cardiovascular Disease)

211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE, LLC
SPRINGFIELD, NJ 07081

Union County (973) 467-0005

ELLIOTT MARK STEIN MD

Internal Medicine (Cardiovascular Disease)

211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE. LLC
SPRINGFIELD, NJ 07081

Union County (973) 467-0005

VANCE JAY WEBER MD

Internal Medicine (Cardiovascular Disease)

211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE LLC
SPRINGFIELD, NJ 07081

Union County (973) 467-0005

LISA DUNHAM NP

Nurse Practitioner (Acute Care)

211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE
SPRINGFIELD, NJ 07081

Union County (973) 467-0005

MICHAEL WEINRAUCH MD

Internal Medicine (Cardiovascular Disease)

211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCULAR DISEASE, LLC
SPRINGFIELD, NJ 07081

Union County (973) 467-0005

MICHAEL S LUX MD

Internal Medicine (Cardiovascular Disease)

211 MOUNTAIN AVE, ASSOCIATES IN CARDIOVASCUALR DISEASE, LLC
SPRINGFIELD, NJ 07081

Union County (973) 467-0005

MRS. KIM PALMERI-NAMAN PA

Physician Assistant

211 MOUNTAIN AVE, ASSOCITES IN CARDIOVASCULAR DISEASE
SPRINGFIELD, NJ 07081

Union County (973) 467-0005

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 Sanjiv Prasad's NPI number?

The NPI number for Sanjiv Prasad is 1164417523. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Sanjiv Prasad located?

Sanjiv Prasad practices at 211 Mountain Ave Associates In Cardiovascular Disease LLC, Springfield, NJ 07081. The listed phone number is (973) 467-0005.

What is Sanjiv Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sanjiv Prasad enrolled in Medicare?

Yes. Sanjiv 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 Sanjiv Prasad accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sanjiv 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.

Is Sanjiv Prasad affiliated with any hospitals?

According to CMS data, Sanjiv Prasad is affiliated with Morristown Medical Center, Newton Medical Center, Overlook Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjiv Prasad was last updated on May 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.