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

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: August 16, 2026.

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
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

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

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.

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.

Student in an Organized Health Care Education/Training Program
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Student in an Organized Health Care Education/Training Program
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Skilled Nursing Facility
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Psychiatry & Neurology (Forensic Psychiatry)
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Student in an Organized Health Care Education/Training Program
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Physician Assistant (Surgical)
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Social Worker (Clinical)
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Student in an Organized Health Care Education/Training Program
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652

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 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.

Where is Prathila Nair located?

Prathila Nair practices at 230 E Ridgewood Ave, Paramus, NJ 07652. The listed phone number is (518) 368-3883.

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.

Is Prathila Nair enrolled in Medicare?

Yes. Prathila Nair 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 Prathila Nair accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list Prathila Nair 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 Prathila Nair affiliated with any hospitals?

According to CMS data, Prathila Nair is affiliated with Adventhealth Orlando and Bergen New Bridge Medical Center.

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.