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NIRAJ KISHORE PRASAD MD
NPI 1659385227
Internal Medicine - Cardiovascular Disease in Oklahoma City, OK

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
608 NW 9TH ST, SUITE 2200, OKLAHOMA CITY, OK 73102(405) 231-3737(405) 272-6144 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 22, 2020, Jan 21, 2016, Dec 4, 2015 (3 updates tracked since 2015).

About Niraj Kishore Prasad Md NPPES

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

NIRAJ KISHORE PRASAD MD (NPI 1659385227) is an individual cardiovascular disease provider in Oklahoma City, Oklahoma, licensed in Oklahoma (21035) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1659385227
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNIRAJ KISHORE PRASADCredential: MD
Location Address608 NW 9TH ST, SUITE 2200Oklahoma City, OK 73102-1068
Mailing Address608 Nw 9th St, Suite 2200Oklahoma City, OK 73102-1068 · (405) 231-3737 · Fax (405) 272-6144
Phone(405) 231-3737
Fax(405) 272-6144
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 28, 2006
Last NPPES UpdateOctober 22, 20203 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1659385227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OK · 21035
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
608 NW 9TH ST, Oklahoma City, OK 73102
Open in Google Maps ↗

Other Identifiers 1

Medicaid100058130AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Niraj Kishore Prasad 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 ID2860490919
PECOS Enrollment IDI20061128000129
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.

Areas of Expertise CMS Part B claims

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
33 services22 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73102 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.67
Promoting Interoperability100
Improvement Activities40

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.

SSM HEALTHCARE OF OKLAHOMA INC
Obstetrics & Gynecology
608 NW 9TH ST, SUITE 2100
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-8498
SCOTT K LUCAS, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
608 NW 9TH ST, STE 2110
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 310-3028
SAINTS MEDICAL GROUP, LLC
Family Medicine
608 NW 9TH ST, SUITE 1100
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 231-3000
SSM HEALTHCARE OF OKLAHOMA, INC
Surgery (Vascular Surgery)
608 NW 9TH ST, SUITE 5204
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 232-2178
SSM HEALTHCARE OF OK, INC
Internal Medicine (Pulmonary Disease)
608 NW 9TH ST, SUITE 6200
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-7677
SSM HEALTHCARE OF OK, INC
Internal Medicine (Interventional Cardiology)
608 NW 9TH ST, SUITE 4000
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-8383
JOSEPH D PETTY
Social Worker (Clinical)
608 NW 9TH ST, SUITE 1100
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 231-3000
SSM HEALTHCARE OF OK, INC
Internal Medicine (Pulmonary Disease)
608 NW 9TH ST, SUITE 6110
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-6909

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 Niraj Prasad's NPI number?

The NPI number for Niraj Prasad is 1659385227. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Niraj Prasad located?

Niraj Prasad practices at 608 NW 9th St Suite 2200, Oklahoma City, OK 73102. The listed phone number is (405) 231-3737.

What is Niraj Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Niraj Prasad enrolled in Medicare?

Yes. Niraj Prasad 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.

What insurance does Niraj Prasad accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Niraj 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.

Is Niraj Prasad affiliated with any hospitals?

According to CMS data, Niraj Prasad is affiliated with Ssm Health St Anthony Hospital - Oklahoma City.

When was this NPI record last updated?

The NPPES record for Niraj Prasad was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.