ANU R. PRABHALA M.D.
NPI 1518966548
Internal Medicine - Endocrinology, Diabetes & Metabolism in Tulsa, OK

Q: What is Anu Prabhala's NPI number?

The NPI number for Anu Prabhala is 1518966548. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Anu Prabhala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Anu Prabhala was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment

79.39/100

CMS Quality Rating

6160 S YALE AVE, TULSA, OK 74136(918) 497-3140 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Anu R. Prabhala M.d. NPPES

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

ANU R. PRABHALA M.D. (NPI 1518966548) is an individual endocrinology, diabetes & metabolism provider in Tulsa, Oklahoma, licensed in Oklahoma (23244) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1518966548

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameANU R. PRABHALACredential: M.D.

Location Address6160 S YALE AVETulsa, OK 74136-1930

Mailing Address6600 S Yale Ave, Ste 1400Tulsa, OK 74136-3310 · (918) 488-6001

Phone(918) 497-3140

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJuly 20, 2005

Last NPPES UpdateFebruary 29, 2008

✔ NPI 1518966548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in OK · 23244

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 23244 (OK)

6160 S YALE AVE, Tulsa, OK 74136

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Other Identifiers 1

Medicare UPINH77800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.Insurance ›

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

Anu R. Prabhala 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 ID6204731631

PECOS Enrollment IDI20031126000686

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 9

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.

Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes G0109

This is a 30-minute group training session for diabetes patients. It helps you manage your diabetes better by teaching you about diet, exercise, medication, and monitoring blood sugar levels. You'll also learn how to handle emergencies and reduce diabetes-related complications.

499 services84 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

409 services268 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

295 services224 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

270 services131 patients

Diabetes outpatient self-management training services, individual, per 30 minutes G0108

This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.

201 services83 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 patients

Hospital Affiliations CMS Care Compare 4

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370025

Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County

Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370091

Location6161 South YaleTulsa, OK 74136 · Tulsa County

Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370218

Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County

Emergency services Birthing friendly

Saint Francis Hospital Vinita, Inc

Acute Care Hospitals · Vinita, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370237

Location735 North Foreman StreetVinita, OK 74301 · Craig County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

79.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.76

Promoting Interoperability

Improvement Activities

Cost

54.37

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

9 suppliers69 claims861 services$18.54 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

9 suppliers65 claims2,064 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

30 suppliers83 claims386 services$6.71 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers25 claims56 services$1.18 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers42 claims42 services$313.23 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

13 suppliers55 claims5,660 services$7.11 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.

EMILY ANN CARTER PA-C

Physician Assistant