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DR. SIDDHARTH PRAKASH M.D.
NPI 1477761203
Radiology - Diagnostic Radiology in Staten Island, NY

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
2025 RICHMOND AVE STE 1A, STATEN ISLAND, NY 10314(718) 494-0800 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 19, 2023, Sep 23, 2022, Nov 22, 2019 (3 updates tracked since 2019).

About Dr. Siddharth Prakash M.d. NPPES

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

DR. SIDDHARTH PRAKASH M.D. (NPI 1477761203) is an individual diagnostic radiology provider in Staten Island, New York, licensed in New York (243250) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Missouri, Columbia School Of Medicine (2002).

NPPES Registry Identity

NPI1477761203
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SIDDHARTH PRAKASHCredential: M.D.
Location Address2025 RICHMOND AVE STE 1AStaten Island, NY 10314-3915
Mailing Address222 E 68th StNew York, NY 10065-6001 · (212) 879-4488
Phone(718) 494-0800
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2002
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 19, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1477761203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NY · 243250
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2025 RICHMOND AVE STE 1A, Staten Island, NY 10314
Open in Google Maps ↗

Secondary Practice Location 1

Location 1222 E 68th StNew York, NY 10065-6001 · Phone (212) 879-4488

Other Identifiers 1

Medicaid02920607NY

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

Dr. Siddharth Prakash M.d. 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 ID6901969013
PECOS Enrollment IDI20090116000009
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 5

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,200 services21 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
21 services21 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
20 services19 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
14 services14 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Siddharth Prakash's NPI number?

The NPI number for Siddharth Prakash is 1477761203. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Siddharth Prakash located?

Siddharth Prakash practices at 2025 Richmond Ave Ste 1A, Staten Island, NY 10314. The listed phone number is (718) 494-0800.

What is Siddharth Prakash's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Siddharth Prakash enrolled in Medicare?

Yes. Siddharth Prakash 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.

When was this NPI record last updated?

The NPPES record for Siddharth Prakash was last updated on January 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.