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PRASHANTH PALVANNAN
NPI 1487141438
Surgery in Philadelphia, PA

Active since April 16, 2018PECOS EnrolledAccepts Medicare Assignment
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107(215) 955-6864(215) 955-2878 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 23, 2018, Apr 16, 2018 (2 updates tracked since 2018).

About Prashanth Palvannan NPPES

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

PRASHANTH PALVANNAN (NPI 1487141438) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT215213) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of Rutgers New Jersey Medical School (2018).

NPPES Registry Identity

NPI1487141438
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePRASHANTH PALVANNAN
Location Address1015 WALNUT ST STE 620Philadelphia, PA 19107
Mailing Address15 Willocks CirSomerset, NJ 08873-7462 · (908) 499-3346
Phone(215) 955-6864
Fax(215) 955-2878
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2018
Enumeration DateApril 16, 2018
Last NPPES UpdateMay 23, 20182 updates tracked since enumeration
✔ NPI 1487141438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MT215213
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1015 WALNUT ST STE 620, Philadelphia, PA 19107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Prashanth Palvannan 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 ID3577828938
PECOS Enrollment IDI20250620001180
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 Reassignments

2

Medicare enrollment records show Prashanth Palvannan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart Center Of Metrowest Inc
253 mi
Cardiovascular Disease
99 LINCOLN ST, 2ND FLOOR
Framingham, MA 01702
  • Reassigned Medicare billing, Massachusetts enrollment
  • 29 clinicians in this Medicare group
NPI 1598756132 (508) 875-4811
Cardiovascular Center At Tufts Medical Center, Inc.
270 mi
Cardiovascular Disease
800 WASHINGTON ST
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 133 clinicians in this Medicare group
NPI 1447764253 (617) 636-5000

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 4

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Metrowest Medical Center

Acute Care Hospitals · Framingham, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220175
Location115 Lincoln StreetFramingham, MA 01701 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

ALLISON S DOERMANN MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
DR. GREGORY STEVEN HANSON MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
KATHLEEN MARY JARRELL
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
DR. VICTOR IVAN RIVERA MD
Radiology (Diagnostic Radiology)
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
ROBERT SHAWN KEEBLER MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
CHELSEA MATZKO MD
Surgery
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
DR. STEPHEN MATTHEW BAIO MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
SNEHA SREE ALAPARTHI MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864

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 Prashanth Palvannan's NPI number?

The NPI number for Prashanth Palvannan is 1487141438. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Prashanth Palvannan located?

Prashanth Palvannan practices at 1015 Walnut St Ste 620, Philadelphia, PA 19107. The listed phone number is (215) 955-6864.

What is Prashanth Palvannan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Prashanth Palvannan enrolled in Medicare?

Yes. Prashanth Palvannan 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 organizations bill Medicare for Prashanth Palvannan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prashanth Palvannan reassigns Medicare benefits to 2 organizations: Heart Center Of Metrowest Inc (Framingham, MA) and Cardiovascular Center At Tufts Medical Center, Inc. (Boston, MA). Each 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 Prashanth Palvannan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prashanth Palvannan accept?

Health plans from Anthem Blue Cross and Blue Shield list Prashanth Palvannan 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 Prashanth Palvannan affiliated with any hospitals?

According to CMS data, Prashanth Palvannan is affiliated with Lowell General Hospital, Melrosewakefield Healthcare, Tufts Medical Center and Metrowest Medical Center.

When was this NPI record last updated?

The NPPES record for Prashanth Palvannan was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.