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ASHA SHAH PRASAD MD
NPI 1629236286
Internal Medicine in Duluth, GA

Active since May 29, 2008PECOS Enrolled
3490 PLEASANT HILL RD, DULUTH, GA 30096(770) 814-2870(770) 814-2872 Get Directions Write a Review

NPPES record last updated: January 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 14, 2023, May 17, 2022, Jul 28, 2021 and 1 more (4 updates tracked since 2018).

About Asha Shah Prasad Md NPPES

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

ASHA SHAH PRASAD MD (NPI 1629236286) is an individual internal medicine provider in Duluth, Georgia, licensed in Georgia (65494) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629236286
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameASHA SHAH PRASADCredential: MD
Location Address3490 PLEASANT HILL RDDuluth, GA 30096
Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404
Phone(770) 814-2870
Fax(770) 814-2872
Sole ProprietorNo
Enumeration DateMay 29, 2008
Last NPPES UpdateJanuary 14, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1629236286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 65494
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3490 PLEASANT HILL RD, Duluth, GA 30096
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Secondary Practice Locations 2

Location 1455 Beaver Ruin Rd NWLilburn, GA 30047-3413 · Phone (770) 923-7778 · Fax (770) 806-1383
Location 24870 Lawrenceville HwyTucker, GA 30084-2952 · Phone (770) 496-1429 · Fax (770) 270-5854

Other Identifiers 1

Medicaid003113236GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Asha Shah Prasad Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Asha Prasad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Holy Cross Hospital Inc
589 mi
Internal Medicine
4725 N FEDERAL HIGHWAY, HCMG BILLING DEPARTMENT
Ft. Lauderdale, FL 33308
  • Reassigned Medicare billing, Florida enrollment
  • 393 clinicians in this Medicare group
NPI 1467401877 (954) 351-4702

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 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 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.
32 services21 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.
19 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$184.33 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 2

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

GWINNETT CLINIC, LTD
Clinic/Center (Multi-Specialty)
3490 PLEASANT HILL RD
DULUTH, GA 30096
Gwinnett County (770) 814-2870
DR. MEENA J SHAH MD
Family Medicine
3490 PLEASANT HILL RD
DULUTH, GA 30096
Gwinnett County (770) 814-2870

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 Asha Prasad's NPI number?

The NPI number for Asha Prasad is 1629236286. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Where is Asha Prasad located?

Asha Prasad practices at 3490 Pleasant Hill Rd, Duluth, GA 30096. The listed phone number is (770) 814-2870.

What is Asha Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Asha Prasad enrolled in Medicare?

Yes. Asha Prasad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Asha Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Asha Prasad reassigns Medicare benefits to Holy Cross Hospital Inc (Ft. Lauderdale, FL). 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 Asha Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Asha Prasad accept?

Health plans from AvMed, Molina Healthcare and Oscar Health Maintenance Organization of Florida list Asha Prasad 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 Asha Prasad was last updated on January 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.