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

Q: 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.

Q: What is Prasad Munusamy's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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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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

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.

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