PRATHILA KARUNAKARAN NAIR M.D.
NPI 1235397373
Psychiatry & Neurology - Child & Adolescent Psychiatry in Paramus, NJ

Q: What is Prathila Nair's NPI number?

The NPI number for Prathila Nair is 1235397373. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Q: What is Prathila Nair's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Prathila Nair was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment

230 E RIDGEWOOD AVE, PARAMUS, NJ 07652(518) 368-3883 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Prathila Karunakaran Nair M.d. NPPES

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

PRATHILA KARUNAKARAN NAIR M.D. (NPI 1235397373) is an individual child & adolescent psychiatry provider in Paramus, New Jersey, licensed in New Jersey (25MA09212200) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1235397373

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NamePRATHILA KARUNAKARAN NAIRCredential: M.D.

Location Address230 E RIDGEWOOD AVEParamus, NJ 07652-4142

Mailing Address71 Wyandotte AveDumont, NJ 07628-2119 · (518) 368-3883

Phone(518) 368-3883

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 27, 2008

Last NPPES UpdateDecember 18, 2019

✔ NPI 1235397373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NJ · 25MA09212200

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

230 E RIDGEWOOD AVE, Paramus, NJ 07652

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prathila Karunakaran Nair 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.

PECOS PAC ID7214161611

PECOS Enrollment IDI20150115002012, I20241101000617

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 Reassignments

Medicare enrollment records show Prathila Nair reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bergen County Improvement Authority

Same address

Psychiatry

230 E RIDGEWOOD AVE
Paramus, NJ 07652

Reassigned Medicare billing, New Jersey enrollment
38 clinicians in this Medicare group

NPI 1578641924 (201) 967-4000

Hamilton Behavioral MD PA

1.4 mi

Endocrinology, Diabetes & Metabolism

300A FOREST AVE
Paramus, NJ 07652

Reassigned Medicare billing, New Jersey enrollment
53 clinicians in this Medicare group

NPI 1548500408 (201) 490-5158

Hamilton Behavioral Health

6.2 mi

Clinical

79 OGLE RD
Old Tappan, NJ 07675

Reassigned Medicare billing, New Jersey enrollment
7 clinicians in this Medicare group

NPI 1720745060 (201) 490-5158

Hakuna Matata Psychiatry Services PLLC

995 mi

Psychiatry

13123 E EMERALD COAST PKWY # 193
Inlet Beach, FL 32461

Reassigned Medicare billing, Florida enrollment
34 clinicians in this Medicare group

NPI 1699331132 (850) 460-5543

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

388 services94 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

74 services69 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

50 services34 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

45 services37 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.

21 services17 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.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Bergen New Bridge Medical Center

Acute Care Hospitals · Paramus, NJ

OwnershipVoluntary non-profit - Private

CMS Certification Number310058

Location230 East Ridgewood AveParamus, NJ 07652 · Bergen County

Emergency services

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.

SUKAINA RIZVI MD

Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)