DR. PREETHA AMBIKA PRAZAD M.D.
NPI 1336324417
Pediatrics - Neonatal-Perinatal Medicine in Park Ridge, IL

Q: What is Preetha Prazad's NPI number?

The NPI number for Preetha Prazad is 1336324417. It was assigned to this individual provider in the NPPES registry on January 8, 2008. The provider is also known as Preetha Ambika Thanumalayan.

Q: What is Preetha Prazad's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Preetha Prazad was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 08, 2008PECOS Enrolled

1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-5313 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Preetha Ambika Prazad M.d. NPPES

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

DR. PREETHA AMBIKA PRAZAD M.D. (NPI 1336324417) is an individual neonatal-perinatal medicine provider in Park Ridge, Illinois, licensed in Illinois (036111871) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336324417

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. PREETHA AMBIKA PRAZADCredential: M.D.

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address1410 Winston DrBuffalo Grove, IL 60089-6833 · (847) 824-9234

Phone(847) 723-5313

Sole ProprietorNo

Enumeration DateJanuary 8, 2008

Last NPPES UpdateApril 20, 2022

NPPES CertifiedApril 20, 2022

✔ NPI 1336324417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in IL · 036111871

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1775 DEMPSTER ST, Park Ridge, IL 60068

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Other Names 1

Former Name (1)Preetha Ambika Thanumalayan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Preetha Ambika Prazad M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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