DR. SUDHIR L PRABHU M.D.
NPI 1497749071
Allergy & Immunology in Jacksonville, FL

Active since September 09, 2005PECOS Enrolled
4123 UNIVERSITY BLVD S, B, JACKSONVILLE, FL 32216(904) 636-9100(904) 636-9102 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sudhir L Prabhu M.d. NPPES

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

DR. SUDHIR L PRABHU M.D. (NPI 1497749071) is an individual allergy & immunology provider in Jacksonville, Florida, licensed in Florida (ME 37408) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497749071
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. SUDHIR L PRABHUCredential: M.D.
Location Address4123 UNIVERSITY BLVD S, BJacksonville, FL 32216-4371
Mailing Address4123 University Blvd S, BJacksonville, FL 32216-4371 · (904) 636-9100 · Fax (904) 636-9102
Fax(904) 636-9102
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateAugust 23, 2012
NPI 1497749071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in FL · ME 37408
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
4123 UNIVERSITY BLVD S, Jacksonville, FL 32216

Other Identifiers 2

Medicare ID-Type Unspecified15655FL
Medicare UPIND52684FL

Accepted Insurance

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. Sudhir L Prabhu 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4123 UNIVERSITY BLVD S, STE B
JACKSONVILLE, FL 32216
Internal Medicine (Gastroenterology)
4123 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Internal Medicine (Nephrology)
4123 UNIVERSITY BLVD S, STE E
JACKSONVILLE, FL 32216
Physician Assistant (Medical)
4123 UNIVERSITY BLVD S, STE B
JACKSONVILLE, FL 32216
Allergy & Immunology
4123 UNIVERSITY BLVD S, B
JACKSONVILLE, FL 32216
Specialist
4123 UNIVERSITY BLVD S, SUITE E.
JACKSONVILLE, FL 32216
Behavior Analyst
4123 UNIVERSITY BLVD S, SUITE C
JACKSONVILLE, FL 32216
Family Medicine
4123 UNIVERSITY BLVD S, UNIT C
JACKSONVILLE, FL 32216

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 Sudhir Prabhu's NPI number?

The NPI number for Sudhir Prabhu is 1497749071. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Sudhir Prabhu located?

Sudhir Prabhu practices at 4123 University Blvd S B, Jacksonville, FL 32216. The listed phone number is (904) 636-9100.

What is Sudhir Prabhu's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Sudhir Prabhu enrolled in Medicare?

Yes. Sudhir Prabhu is registered in the Medicare PECOS enrollment system.

What insurance does Sudhir Prabhu accept?

Health plans from Oscar Health Maintenance Organization of Florida list Sudhir Prabhu 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.

When was this NPI record last updated?

The NPPES record for Sudhir Prabhu was last updated on August 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.