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PRIYA SHALINI PRASHAD MD
NPI 1508995044
Pediatrics - Sleep Medicine in Hawthorne, NY

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532(914) 493-7585(914) 594-4336 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Priya Shalini Prashad Md NPPES

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

PRIYA SHALINI PRASHAD MD (NPI 1508995044) is an individual sleep medicine provider in Hawthorne, New York, licensed in New York (267010) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Westchester Medical Center, and is a graduate of Morehouse School Of Medicine (2006).

NPPES Registry Identity

NPI1508995044
Entity TypeIndividualFemale
Primary Taxonomy2080S0012X
Provider Legal NamePRIYA SHALINI PRASHADCredential: MD
Location Address19 BRADHURST AVE, SUITE 1400Hawthorne, NY 10532-2140
Mailing Address19 Bradhurst Ave, Suite 1400Hawthorne, NY 10532-2140 · (914) 493-7585 · Fax (914) 594-4336
Phone(914) 493-7585
Fax(914) 594-4336
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2006
Enumeration DateMarch 2, 2007
Last NPPES UpdateJanuary 13, 2016
✔ NPI 1508995044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0012X
License✔ Licensed in NY · 267010
Definition
A Pediatrician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD437097 (PA), 267010 (NY)
19 BRADHURST AVE, Hawthorne, NY 10532
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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

Priya Shalini Prashad Md 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 ID1759538184
PECOS Enrollment IDI20130430000044
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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
91 services29 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
37 services18 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
19 services19 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10532 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$38.29 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$16.17 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers17 claims98 services$1.97 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers28 claims28 services$28.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CORDELIA V SHARMA MD
Internal Medicine (Critical Care Medicine)
19 BRADHURST AVE, SUITE 3040N
HAWTHORNE, NY 10532
Westchester County (914) 493-6820
DR. AMY MICHELLE WASSERMAN M.D.
Internal Medicine (Rheumatology)
19 BRADHURST AVE, SUITE 3070N
HAWTHORNE, NY 10532
Westchester County (914) 372-7887
GIFTY ADJEI-DUGBATEY FNP
Nurse Practitioner (Primary Care)
19 BRADHURST AVE
HAWTHORNE, NY 10532
Westchester County (347) 369-8719
KARIM BAKASH SOLANGI MD
Internal Medicine (Nephrology)
19 BRADHURST AVE, SUITE 200N
HAWTHORNE, NY 10532
Westchester County (914) 493-7701
CARMELO ANTHONY PUCCIO M.D.
Internal Medicine (Medical Oncology)
19 BRADHURST AVE, SUITE 2100
HAWTHORNE, NY 10532
Westchester County (914) 493-8375
DR. JOSEPH VOZZOLO M.D.
Internal Medicine (Cardiovascular Disease)
19 BRADHURST AVE, SUITE 700
HAWTHORNE, NY 10532
Westchester County (914) 337-3500
JOSE L MUNOZ MD
Pediatrics (Pediatric Infectious Diseases)
19 BRADHURST AVE, STE. 1400
HAWTHORNE, NY 10532
Westchester County (914) 493-8333
DR. SEI IWAI MD
Internal Medicine (Clinical Cardiac Electrophysiology)
19 BRADHURST AVE, SUITE 3850S
HAWTHORNE, NY 10532
Westchester County (914) 909-6900

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 Priya Prashad's NPI number?

The NPI number for Priya Prashad is 1508995044. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Priya Prashad located?

Priya Prashad practices at 19 Bradhurst Ave Suite 1400, Hawthorne, NY 10532. The listed phone number is (914) 493-7585.

What is Priya Prashad's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sleep Medicine, with taxonomy code 2080S0012X.

Is Priya Prashad enrolled in Medicare?

Yes. Priya Prashad 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.

Is Priya Prashad affiliated with any hospitals?

According to CMS data, Priya Prashad is affiliated with Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Priya Prashad was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.