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LAXMINARAYAN PRABHAKAR MD
NPI 1548821887
Internal Medicine - Pulmonary Disease in Glen Ridge, NJ

Active since June 26, 2019PECOS EnrolledAccepts Medicare Assignment
123 HIGHLAND AVE STE 101, GLEN RIDGE, NJ 07028(973) 744-9125 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 2, 2026, Mar 11, 2026 (2 updates tracked since 2026).

About Laxminarayan Prabhakar Md NPPES

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

LAXMINARAYAN PRABHAKAR MD (NPI 1548821887) is an individual pulmonary disease provider in Glen Ridge, New Jersey, licensed in New Jersey (25MA11677400) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1548821887
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameLAXMINARAYAN PRABHAKARCredential: MD
Location Address123 HIGHLAND AVE STE 101Glen Ridge, NJ 07028-1522
Mailing Address123 Highland Ave Ste 101Glen Ridge, NJ 07028-1522
Phone(973) 744-9125
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 26, 2019
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1548821887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA11677400
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 25MA11677400 (NJ)
123 HIGHLAND AVE STE 101, Glen Ridge, NJ 07028
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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

Laxminarayan Prabhakar 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 ID7012409667
PECOS Enrollment IDI20251121002503, I20260121001457
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.

Hospital Affiliations CMS Care Compare 2

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

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

PULMONARY AND SLEEP SPECIALISTS OF NJ
Internal Medicine (Pulmonary Disease)
123 HIGHLAND AVE STE 101
GLEN RIDGE, NJ 07028
Essex County (973) 744-9125

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 Laxminarayan Prabhakar's NPI number?

The NPI number for Laxminarayan Prabhakar is 1548821887. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Laxminarayan Prabhakar located?

Laxminarayan Prabhakar practices at 123 Highland Ave Ste 101, Glen Ridge, NJ 07028. The listed phone number is (973) 744-9125.

What is Laxminarayan Prabhakar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Laxminarayan Prabhakar enrolled in Medicare?

Yes. Laxminarayan Prabhakar 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 Laxminarayan Prabhakar affiliated with any hospitals?

According to CMS data, Laxminarayan Prabhakar is affiliated with St Joseph's University Medical Center Inc and Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Laxminarayan Prabhakar was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.