PRASAD POLISETTY MD PLLC
NPI 1649995382
Internal Medicine - Critical Care Medicine in Princeton, WV

Active since October 05, 2022
120 12TH ST, PRINCETON, WV 24740(304) 487-8000 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 15, 2026, Jan 25, 2023, Jan 5, 2023 and 1 more (4 updates tracked since 2022).

About Prasad Polisetty Md Pllc NPPES

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

PRASAD POLISETTY MD PLLC (NPI 1649995382) is a healthcare organization registered as a critical care medicine in Princeton, West Virginia and active in the NPI registry since October 2022. The organization lists Sean Sherrill, Billing Admin, as its authorized official.

NPPES Registry Identity

NPI1649995382
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NamePRASAD POLISETTY MD PLLC
Location Address120 12TH STPrinceton, WV 24740
Mailing AddressPo Box 791825Baltimore, MD 21279-1825 · (248) 633-4262
Organization SubpartNo
Authorized OfficialSean SherrillBilling Admin · (423) 646-1862
Enumeration DateOctober 5, 2022
Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1649995382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Adolescent MedicineTaxonomy 207RA0000X
Also ListedRehabilitation HospitalTaxonomy 283X00000X
120 12TH ST, Princeton, WV 24740

Other Identifiers 1

Medicaid1376711291WV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prasad Polisetty Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Prasad Polisetty MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1376711291
1735 W STATE OF FRANKLIN RD STE 5
Johnson City, TN 37604
(423) 646-1862
✔ PECOS101 mi

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

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 Prasad Polisetty MD PLLC's NPI number?

The NPI number for Prasad Polisetty MD PLLC is 1649995382. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is Prasad Polisetty MD PLLC located?

Prasad Polisetty MD PLLC is located at 120 12th St, Princeton, WV 24740. The listed phone number is (304) 487-8000.

What is Prasad Polisetty MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Prasad Polisetty MD PLLC enrolled in Medicare?

Yes. Prasad Polisetty MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prasad Polisetty MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prasad Polisetty MD PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prasad Polisetty MD PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Prasad Polisetty MD PLLC 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 Prasad Polisetty MD PLLC was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.