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DAVID PRADO MD CANDIDATE
NPI 1205464427
Pediatrics - Pediatric Gastroenterology in Newark, NJ

Active since April 01, 2020PECOS Enrolled
201 LYONS AVE, NEWARK, NJ 07112(973) 219-2472 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Apr 1, 2020 (2 updates tracked since 2020).

About David Prado Md Candidate NPPES

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

DAVID PRADO MD CANDIDATE (NPI 1205464427) is an individual pediatric gastroenterology provider in Newark, New Jersey, licensed in New Jersey (25MA13118100) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2019).

NPPES Registry Identity

NPI1205464427
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDAVID PRADOCredential: MD CANDIDATE
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address3 Ronson Rd Apt 2410Iselin, NJ 08830-3080 · (973) 219-2472
Phone(973) 219-2472
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2019
Enumeration DateApril 1, 2020
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1205464427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NJ · 25MA13118100
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
201 LYONS AVE, Newark, NJ 07112
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Prado Md Candidate is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618432147
PECOS Enrollment IDI20260724001629
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.

Medicare Billing Reassignment

Medicare enrollment records show David Prado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Barnabas Health Medical Group PC
3.5 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123

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 07112 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

DR. KEITH MICHAEL SPELLMAN M.D.
Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7960
DR. LARISSA SOPHIA DUDLEY M.D.
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Essex County (973) 926-6671
WAQAS BARI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (800) 843-2384
ERIKA YESENIA PINEDA MD
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
CASEY YEONJOO CHO APN
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-6938
KARLINA NGUYEN PA-C
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
BRIAN CAO MD
Anesthesiology (Pediatric Anesthesiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
DR. ALEXIS LORDI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 900-4855

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 David Prado's NPI number?

The NPI number for David Prado is 1205464427. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is David Prado located?

David Prado practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 219-2472.

What is David Prado's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is David Prado enrolled in Medicare?

Yes. David Prado is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Prado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Prado reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). The 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 David Prado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Prado was last updated on August 19, 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.