DR. PRIYA PRAKASH M.D.
NPI 1225374085
Internal Medicine - Rheumatology in Clermont, FL
About Dr. Priya Prakash M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYA PRAKASH M.D. (NPI 1225374085) is an individual rheumatology provider in Clermont, Florida, licensed in Florida (ME144273) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
Dr. Priya Prakash M.d. 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.
Areas of Expertise CMS Part B claims 23
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Orlando Health
Acute Care Hospitals · Orlando, FLAdventhealth Orlando
Acute Care Hospitals · Orlando, FLOrlando Health-Health Central Hospital
Acute Care Hospitals · Ocoee, FLOrlando Health South Lake Hospital
Acute Care Hospitals · Clermont, FLAdventhealth Waterman
Acute Care Hospitals · Tavares, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLERMONT, FL 34711
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 Priya Prakash's NPI number?
The NPI number for Priya Prakash is 1225374085. It was assigned to this individual provider in the NPPES registry on December 26, 2012.
Where is Priya Prakash located?
Priya Prakash practices at 2611 S Us Hwy 27, Clermont, FL 34711. The listed phone number is (352) 717-0603.
What is Priya Prakash's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Priya Prakash enrolled in Medicare?
Yes. Priya Prakash 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 Priya Prakash accept?
Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Priya Prakash 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 Priya Prakash affiliated with any hospitals?
According to CMS data, Priya Prakash is affiliated with Orlando Health, Adventhealth Orlando, Orlando Health-Health Central Hospital, Orlando Health South Lake Hospital and Adventhealth Waterman.
When was this NPI record last updated?
The NPPES record for Priya Prakash was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.