NARAYAN PRABHAKAR MD
NPI 1275616955
Family Medicine in Munster, IN

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
7905 CALUMET AVE, MUNSTER, IN 46321(219) 836-3049(219) 836-7295 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2024, Apr 19, 2024, Mar 13, 2021 and 1 more (4 updates tracked since 2019).

About Narayan Prabhakar Md NPPES

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

NARAYAN PRABHAKAR MD (NPI 1275616955) is an individual family medicine provider in Munster, Indiana, licensed in Indiana (01082063A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Dyer, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275616955
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNARAYAN PRABHAKARCredential: MD
Location Address7905 CALUMET AVEMunster, IN 46321-2549
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 836-7295
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 24, 2006
Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
NPI 1275616955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IN · 01082063A Licensed in IL · 036-106018
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.

7905 CALUMET AVE, Munster, IN 46321

Secondary Practice Locations 2

Location 18234 S Ashland AveChicago, IL 60620-4625 · Phone (773) 874-1400 · Fax (773) 874-9245
Location 27905 Calumet AveMunster, IN 46321 · Phone (219) 836-5800 · Fax (219) 836-7295

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

Narayan Prabhakar 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 ID8729078779
PECOS Enrollment IDI20190712000259
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Audiologist
7905 CALUMET AVE, HAMMOND CLINIC LLC
MUNSTER, IN 46321
Surgery
7905 CALUMET AVE
MUNSTER, IN 46321
Family Medicine
7905 CALUMET AVE, HAMMOND CLINIC LLC
MUNSTER, IN 46321
Nurse Practitioner (Adult Health)
7905 CALUMET AVE, HAMMOND CLINIC LLC
MUNSTER, IN 46321
Orthopaedic Surgery
7905 CALUMET AVE, HAMMOND CLINIC LLC
MUNSTER, IN 46321
Pediatrics
7905 CALUMET AVE, HAMMOND CLINIC LLC
MUNSTER, IN 46321
Family Medicine
7905 CALUMET AVE, HAMMOND CLINIC LLC
MUNSTER, IN 46321
Pediatrics
7905 CALUMET AVE, HAMMOND CLINIC LLC
MUNSTER, IN 46321

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 Narayan Prabhakar's NPI number?

The NPI number for Narayan Prabhakar is 1275616955. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Narayan Prabhakar located?

Narayan Prabhakar practices at 7905 Calumet Ave, Munster, IN 46321. The listed phone number is (219) 836-3049.

What is Narayan Prabhakar's specialty?

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

Is Narayan Prabhakar enrolled in Medicare?

Yes. Narayan Prabhakar 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 Narayan Prabhakar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Narayan Prabhakar 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 Narayan Prabhakar affiliated with any hospitals?

According to CMS data, Narayan Prabhakar is affiliated with Franciscan Health Dyer and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Narayan Prabhakar was last updated on November 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.