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DR. ESWARI PRAKASAM M.D.
NPI 1366542995
Pediatrics in Roseville, CA

Active since September 24, 2006PECOS Enrolled
3100 DOUGLAS BLVD, ROSEVILLE, CA 95661(916) 774-8500(916) 773-9223 Get Directions Write a Review

NPPES record last updated: July 22, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Eswari Prakasam M.d. NPPES

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

DR. ESWARI PRAKASAM M.D. (NPI 1366542995) is an individual pediatrics provider in Roseville, California, licensed in California (A68597) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366542995
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ESWARI PRAKASAMCredential: M.D.
Location Address3100 DOUGLAS BLVDRoseville, CA 95661-3866
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 774-8500
Fax(916) 773-9223
Sole ProprietorNo
Enumeration DateSeptember 24, 2006
Last NPPES UpdateJuly 22, 2015
✔ NPI 1366542995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A68597
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3100 DOUGLAS BLVD, Roseville, CA 95661
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Other Identifiers 3

Medicare ID-Type Unspecified00A685970
Medicare UPINH55525
Medicaid00A685970CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eswari Prakasam 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.

Medicare Billing Reassignment

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

Sutter Medical Foundation
13 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857

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 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

JENINA SEGALE RD
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8885
ANN MARIE WINTERTON LCSW
Dietitian, Registered
3100 DOUGLAS BLVD, SUITE 204
ROSEVILLE, CA 95661
Placer County (916) 774-8885
MARIA-DOLORES CERQUEIRA HANEFFANT PA
Physician Assistant (Medical)
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300
RUPINDER TUMBER RD
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8885
MRS. GINA M WHITELEY I RD, CDE
Dietitian, Registered
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 865-1140
DR. KENNY BAINS M.D.
Family Medicine
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300
PATRICIA MARIE DIXSON FNP
Nurse Practitioner (Family)
3100 DOUGLAS BLVD, SUITE 325
ROSEVILLE, CA 95661
Placer County (916) 241-9844
DR. ROGER ANG M.D.
Family Medicine
3100 DOUGLAS BLVD
ROSEVILLE, CA 95661
Placer County (916) 774-8300

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 Eswari Prakasam's NPI number?

The NPI number for Eswari Prakasam is 1366542995. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Eswari Prakasam located?

Eswari Prakasam practices at 3100 Douglas Blvd, Roseville, CA 95661. The listed phone number is (916) 774-8500.

What is Eswari Prakasam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Eswari Prakasam enrolled in Medicare?

Yes. Eswari Prakasam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eswari Prakasam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eswari Prakasam reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, CA). 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 Eswari Prakasam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eswari Prakasam was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.