DR. NILESH MARAJ PRASHAD MD
NPI 1548820558
Family Medicine in Hastings, MI
About Dr. Nilesh Maraj Prashad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NILESH MARAJ PRASHAD MD (NPI 1548820558) is an individual family medicine provider in Hastings, Michigan, licensed in Michigan (4351045118) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Pennock Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Nilesh Maraj 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.
Medicare Billing Reassignment
Medicare enrollment records show Nilesh Prashad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Corewell Health Pennock Hospital
Critical Access Hospitals · Hastings, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Nilesh Prashad's NPI number?
The NPI number for Nilesh Prashad is 1548820558. It was assigned to this individual provider in the NPPES registry on June 20, 2019.
Where is Nilesh Prashad located?
Nilesh Prashad practices at 1009 W Green St, Hastings, MI 49058. The listed phone number is (269) 945-1212.
What is Nilesh Prashad's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Nilesh Prashad enrolled in Medicare?
Yes. Nilesh 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.
Which organization bills Medicare for Nilesh Prashad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nilesh Prashad reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The 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 Nilesh Prashad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nilesh Prashad accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Nilesh Prashad 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 Nilesh Prashad affiliated with any hospitals?
According to CMS data, Nilesh Prashad is affiliated with Corewell Health Pennock Hospital.
When was this NPI record last updated?
The NPPES record for Nilesh Prashad was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Nilesh Maraj Prashad, MD · NPI 1548820558
Family Medicine physician in Hastings, Michigan. Individual provider, active in the CMS NPPES registry since June 20, 2019.
## Identity
- **NPI:** 1548820558 (Entity type: Individual)
- **Enumerated:** June 20, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4351045118 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1009 W GREEN ST, Hastings, MI 49058-1710
- **Phone:** (269) 945-1212
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1821422007, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1548820558) · Data from the CMS NPPES public registry.