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DR. PRABHA SWAMY WEISS M.D.
NPI 1528201472
Pediatrics in Santa Rosa Beach, FL

Active since April 08, 2009PECOS Enrolled
23 MACK BAYOU LOOP STE 100, SANTA ROSA BEACH, FL 32459(850) 278-3136(850) 278-3104 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2018, Mar 17, 2018, Dec 18, 2017 (3 updates tracked since 2017).

About Dr. Prabha Swamy Weiss M.d. NPPES

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

DR. PRABHA SWAMY WEISS M.D. (NPI 1528201472) is an individual pediatrics provider in Santa Rosa Beach, Florida, licensed in Florida (ME133288) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Havasu City.

NPPES Registry Identity

NPI1528201472
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PRABHA SWAMY WEISSCredential: M.D.
Location Address23 MACK BAYOU LOOP STE 100Santa Rosa Beach, FL 32459
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 475-4500 · Fax (850) 475-4619
Phone(850) 278-3136
Fax(850) 278-3104
Sole ProprietorYes
Enumeration DateApril 8, 2009
Last NPPES UpdateJune 21, 20183 updates tracked since enumeration
✔ NPI 1528201472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME133288✔ Licensed in AZ · 46187
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

23 MACK BAYOU LOOP STE 100, Santa Rosa Beach, FL 32459
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Secondary Practice Location 1

Location 12082 Mesquite Ave, Suite A-102Lake Havasu City, AZ 86403-6710 · Phone (928) 680-1264

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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. Prabha Swamy Weiss 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32459 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

NICOLE TERESA LAWRENCE M.D
Pediatrics (Pediatric Gastroenterology)
23 MACK BAYOU LOOP STE 100
SANTA ROSA BEACH, FL 32459
Walton County (850) 416-1575
MARK A. WEHRY MD
Urology (Pediatric Urology)
23 MACK BAYOU LOOP STE 100
SANTA ROSA BEACH, FL 32459
Walton County (850) 416-1575

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 Prabha Weiss's NPI number?

The NPI number for Prabha Weiss is 1528201472. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Where is Prabha Weiss located?

Prabha Weiss practices at 23 Mack Bayou Loop Ste 100, Santa Rosa Beach, FL 32459. The listed phone number is (850) 278-3136.

What is Prabha Weiss's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Prabha Weiss enrolled in Medicare?

Yes. Prabha Weiss is registered in the Medicare PECOS enrollment system.

What insurance does Prabha Weiss accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Prabha Weiss 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 Prabha Weiss was last updated on June 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.