Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRIYANKA NIDASALE PRAKASH MD
NPI 1275276792
Internal Medicine in Round Rock, TX

Q: What is Priyanka Nidasale Prakash's NPI number?

The NPI number for Priyanka Nidasale Prakash is 1275276792. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Q: What is Priyanka Nidasale Prakash's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment

425 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0200(512) 509-0285 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Jul 7, 2025, Jun 27, 2025 and 3 more (6 updates tracked since 2022).

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About Priyanka Nidasale Prakash Md NPPES

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

PRIYANKA NIDASALE PRAKASH MD (NPI 1275276792) is an individual internal medicine provider in Round Rock, Texas, licensed in Texas (W6330) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Little Rock, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275276792

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NamePRIYANKA NIDASALE PRAKASHCredential: MD

Location Address425 UNIVERSITY BLVDRound Rock, TX 78665-1360

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371 · Fax (254) 215-9722

Phone(512) 509-0200

Fax(512) 509-0285

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 14, 2022

Last NPPES UpdateOctober 12, 20266 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1275276792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TX · W6330✔ Licensed in AR · E-19518

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

425 UNIVERSITY BLVD, Round Rock, TX 78665

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Secondary Practice Location 1

Location 13201 Springhill Dr Ste 100North Little Rock, AR 72117-2905 · Phone (501) 955-4530 · Fax (501) 955-4540

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage 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

Priyanka Nidasale Prakash Md 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 ID4880071901

PECOS Enrollment IDI20250813000551

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 Priyanka Nidasale Prakash reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scott & White Clinic

8.4 mi

Internal Medicine

1701 E PFLUGERVILLE PKWY
Pflugerville, TX 78660

Reassigned Medicare billing, Texas enrollment
2,795 clinicians in this Medicare group

NPI 1679691729 (512) 259-6000

Arkansas Health Group

431 mi

Internal Medicine

3201 SPRINGHILL DR STE 100
North Little Rock, AR 72117

Reassigned Medicare billing, Arkansas enrollment
19 clinicians in this Medicare group

NPI 1679061303 (501) 955-4530

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

TRACY L HIEBER PT, ATC

Physical Therapist