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DR. VINAY NANDKUMAR PRABHU M.D.
NPI 1639586928
Pediatrics in New York, NY

Active since July 18, 2014PECOS Enrolled
1901 1ST AVE, 5 TH FLOOR, DEPT. OF PEDIATRICS, ROOM 523,, NEW YORK, NY 10029(212) 423-6995 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Vinay Nandkumar Prabhu M.d. NPPES

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

DR. VINAY NANDKUMAR PRABHU M.D. (NPI 1639586928) is an individual pediatrics provider in New York, New York, licensed in Texas (R6875) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639586928
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. VINAY NANDKUMAR PRABHUCredential: M.D.
Location Address1901 1ST AVE, 5 TH FLOOR, DEPT. OF PEDIATRICS, ROOM 523,New York, NY 10029-7404
Mailing Address1901 1st Ave, 5 Th Floor, Dept. Of Pediatrics, Room 523,New York, NY 10029-7404 · (212) 423-6995
Phone(212) 423-6995
Sole ProprietorYes
Enumeration DateJuly 18, 2014
Last NPPES UpdateOctober 21, 2019
✔ NPI 1639586928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · R6875
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1901 1ST AVE, New York, NY 10029
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vinay Nandkumar Prabhu 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.

Medicare Billing Reassignment

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

Ut Physicians
1,427 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

KENNETH BOMPAROLA PA
Physician Assistant
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6262
ESEOGHENE INYANG AKAMUNE PHARMD
Pharmacist (Pharmacotherapy)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6262
JONATHAN CHABON MD
Emergency Medicine
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6684
KRITI BHANDARI MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE
NEW YORK, NY 10029
New York County (646) 988-5168
SEBASTIAN MARK MENDEZ
Psychiatry & Neurology (Psychiatry)
1901 1ST AVE
NEW YORK, NY 10029
New York County (646) 672-3143
KYRA QUYNN MANAYAN-LEONARD MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE
NEW YORK, NY 10029
New York County (844) 692-4692
ELENA ALAYETO LCSW
Social Worker (Clinical)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-8633
BEATA EDYTA POPIS-MATEJAK MD
Internal Medicine (Critical Care Medicine)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6771

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 Vinay Prabhu's NPI number?

The NPI number for Vinay Prabhu is 1639586928. It was assigned to this individual provider in the NPPES registry on July 18, 2014.

Where is Vinay Prabhu located?

Vinay Prabhu practices at 1901 1st Ave 5 Th Floor, Dept. Of Pediatrics, Room 523,, New York, NY 10029. The listed phone number is (212) 423-6995.

What is Vinay Prabhu's specialty?

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

Is Vinay Prabhu enrolled in Medicare?

Yes. Vinay Prabhu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vinay Prabhu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vinay Prabhu reassigns Medicare benefits to Ut Physicians (Houston, TX). 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 Vinay Prabhu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vinay Prabhu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Vinay Prabhu 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 Vinay Prabhu was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.