RAMYA PRABHU
NPI 1295311033
Pathology - Anatomic Pathology in Boston, MA

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-8613 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, May 12, 2026, Mar 22, 2021 (3 updates tracked since 2021).

About Ramya Prabhu NPPES

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

RAMYA PRABHU (NPI 1295311033) is an individual anatomic pathology provider in Boston, Massachusetts, licensed in Illinois (036.180028) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1295311033
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameRAMYA PRABHU
Location Address75 FRANCIS STBoston, MA 02115-6106
Mailing Address3503 12th Street CtMoline, IL 61265-7158 · (309) 736-6292
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1295311033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in IL · 036.180028
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
75 FRANCIS ST, Boston, MA 02115

Secondary Practice Location 1

Location 11775 Dempster StPark Ridge, IL 60068-1143 · Phone (847) 723-6268

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

Ramya Prabhu 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 ID9739589839
PECOS Enrollment IDI20260604004110
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 Reassignment

Medicare enrollment records show Ramya Prabhu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anatomic Pathology & Clinical Pathology
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Midwest Diagnostic Pathology, S.C.
  • 54 clinicians in this Medicare group

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

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

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Nurse Practitioner (Family)
75 FRANCIS ST
BOSTON, MA 02115

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 Ramya Prabhu's NPI number?

The NPI number for Ramya Prabhu is 1295311033. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Ramya Prabhu located?

Ramya Prabhu practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-8613.

What is Ramya Prabhu's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Ramya Prabhu enrolled in Medicare?

Yes. Ramya Prabhu 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 organization bills Medicare for Ramya Prabhu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramya Prabhu reassigns Medicare benefits to Midwest Diagnostic Pathology Sc (Park Ridge, IL). The 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 Ramya Prabhu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ramya Prabhu affiliated with any hospitals?

According to CMS data, Ramya Prabhu is affiliated with Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Ramya Prabhu was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.