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MR. PRASAD MUNUSAMY M.D.
NPI 1235712043
Family Medicine in Roseau, MN

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment
711 DELMORE DR, ROSEAU, MN 56751(218) 463-1365(843) 839-2382 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2024, Mar 7, 2022, Apr 29, 2021 (3 updates tracked since 2021).

About Mr. Prasad Munusamy M.d. NPPES

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

MR. PRASAD MUNUSAMY M.D. (NPI 1235712043) is an individual family medicine provider in Roseau, Minnesota, licensed in Minnesota (75609) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235712043
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. PRASAD MUNUSAMYCredential: M.D.
Location Address711 DELMORE DRRoseau, MN 56751
Mailing AddressPo Box 13780Grand Forks, ND 58208 · (843) 848-4640 · Fax (843) 839-2382
Phone(218) 463-1365
Fax(843) 839-2382
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 29, 2021
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1235712043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 75609
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
711 DELMORE DR, Roseau, MN 56751
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Mr. Prasad Munusamy 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 ID4587061783
PECOS Enrollment IDI20240730001453
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

2

Medicare enrollment records show Prasad Munusamy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Altru Health System
Same address
Rural Health
711 DELMORE DR
Roseau, MN 56751
  • Reassigned Medicare billing, Minnesota enrollment
  • 193 clinicians in this Medicare group
NPI 1770672289 (218) 463-1365
Lifecare Medical Center
Same address
Critical Access
715 DELMORE DR
Roseau, MN 56751
  • Reassigned Medicare billing, Minnesota enrollment
  • 89 clinicians in this Medicare group
NPI 1609861095 (218) 463-2500

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

Hospital Affiliations CMS Care Compare 2

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

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56751 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 15

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

ALTRU SPECIALTY SERVICES, INC.
Durable Medical Equipment & Medical Supplies
711 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-1635
LUIS G JAIN MD
Family Medicine
711 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-1365
CLYDE RICHARD STEPHENS PAC
Physician Assistant
711 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-1365
ALTRU HEALTH SYSTEM
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
711 DELMORE DR
ROSEAU, MN 56751
Roseau County (701) 780-5877
SHIVALI DEVGON MD
Internal Medicine
711 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-1365
BIO-MEDICAL APPLICATIONS OF MINNESOTA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
711 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-1365
DR. DAVID A BRETT D.O.
Family Medicine
711 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-1365
ERIN MURRAY
Nurse Practitioner (Family)
711 DELMORE DR
ROSEAU, MN 56751
Roseau County (218) 463-1365

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 Prasad Munusamy's NPI number?

The NPI number for Prasad Munusamy is 1235712043. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Prasad Munusamy located?

Prasad Munusamy practices at 711 Delmore Dr, Roseau, MN 56751. The listed phone number is (218) 463-1365.

What is Prasad Munusamy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prasad Munusamy enrolled in Medicare?

Yes. Prasad Munusamy 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.

Which organizations bill Medicare for Prasad Munusamy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasad Munusamy reassigns Medicare benefits to 2 organizations: Altru Health System (Roseau, MN) and Lifecare Medical Center (Roseau, MN). Each 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 Prasad Munusamy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prasad Munusamy accept?

Health plans from Sanford Health Plan list Prasad Munusamy 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 Prasad Munusamy affiliated with any hospitals?

According to CMS data, Prasad Munusamy is affiliated with Lifecare Medical Center and Altru Hospital.

When was this NPI record last updated?

The NPPES record for Prasad Munusamy was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.