PRAKASH VERMA MD
NPI 1659620417
Internal Medicine in Franklin, TN

Q: What is Prakash Verma's NPI number?

The NPI number for Prakash Verma is 1659620417. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Q: What is Prakash Verma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Prakash Verma was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 06, 2012PECOS EnrolledAccepts Medicare Assignment

256 SEABOARD LN STE E104, FRANKLIN, TN 37067(347) 659-9734 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Prakash Verma Md NPPES

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

PRAKASH VERMA MD (NPI 1659620417) is an individual internal medicine provider in Franklin, Tennessee, licensed in Tennessee (56188) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1659620417

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePRAKASH VERMACredential: MD

Location Address256 SEABOARD LN STE E104Franklin, TN 37067-2891

Mailing Address256 Seaboard Ln Ste E104Franklin, TN 37067-2891 · (347) 659-9734

Phone(347) 659-9734

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateSeptember 6, 2012

Last NPPES UpdateApril 19, 2025

NPPES CertifiedApril 19, 2025

✔ NPI 1659620417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TN · 56188✔ Licensed in TX · Q4871✔ Licensed in OH · 35.123519

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.

Also ListedHospitalistTaxonomy 208M00000X · License 56188 (TN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

256 SEABOARD LN STE E104, Franklin, TN 37067

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Secondary Practice Location 1

Location 17901 Silver Lake LnMemphis, TN 38119-1801 · Phone (347) 659-9734

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prakash Verma 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 ID2961627088

PECOS Enrollment IDI20171031000831

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 Reassignments

Medicare enrollment records show Prakash Verma reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Versal

0.6 mi

Internal Medicine

1909 MALLORY LN STE 308
Franklin, TN 37067

Reassigned Medicare billing, Tennessee enrollment
2 clinicians in this Medicare group

NPI 1346059011 (615) 203-8999

Hospital Medicine Services Of Tn, LLC

14 mi

Hospitalist

2300 PATTERSON ST
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
420 clinicians in this Medicare group

NPI 1982301065 (615) 342-1001

App Of Tennessee Hm, PLLC

34 mi

Hospitalist

2835 HIGHWAY 231 N
Shelbyville, TN 37160

Reassigned Medicare billing, Tennessee enrollment
498 clinicians in this Medicare group

NPI 1396160768 (931) 685-5433

Anova Medical Associates, Plc

35 mi

Hospitalist

1156 NASHVILLE PIKE
Gallatin, TN 37066

Reassigned Medicare billing, Tennessee enrollment
195 clinicians in this Medicare group

NPI 1659849537 (615) 989-1088

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

384 services151 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

152 services148 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

91 services89 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

63 services39 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440053

Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County

Emergency services Birthing friendly

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440144

Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County

Emergency services Birthing friendly

Tristar Southern Hills Medical Center

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440197

Location391 Wallace RdNashville, TN 37211 · Davidson County

Emergency services

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number440227

Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers16 claims16 services$21.27 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers34 claims34 services$119.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Prakash Verma's NPI number?

The NPI number for Prakash Verma is 1659620417. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Prakash Verma located?

Prakash Verma practices at 256 Seaboard Ln Ste E104, Franklin, TN 37067. The listed phone number is (347) 659-9734.

What is Prakash Verma's specialty?

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

Is Prakash Verma enrolled in Medicare?

Yes. Prakash Verma 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.

Which organizations bill Medicare for Prakash Verma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prakash Verma reassigns Medicare benefits to 4 organizations: Versal (Franklin, TN), Hospital Medicine Services Of Tn, LLC (Nashville, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN) and Anova Medical Associates, Plc (Gallatin, TN). Each 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 Prakash Verma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prakash Verma accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Prakash Verma 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 Prakash Verma affiliated with any hospitals?

According to CMS data, Prakash Verma is affiliated with Vanderbilt University Medical Center, Saint Thomas Rutherford Hospital, Vanderbilt Tullahoma-Harton Hospital, Tristar Southern Hills Medical Center and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Prakash Verma was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.