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SANDEEP GAJANAN PRABHU MD
NPI 1689844797
Radiology - Pediatric Radiology in Oklahoma City, OK

Active since March 04, 2008PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
1200 EVERETT DR, 1NP606, OKLAHOMA CITY, OK 73104(405) 271-5125 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandeep Gajanan Prabhu Md NPPES

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

SANDEEP GAJANAN PRABHU MD (NPI 1689844797) is an individual pediatric radiology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (25469) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with O U Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1689844797
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameSANDEEP GAJANAN PRABHUCredential: MD
Location Address1200 EVERETT DR, 1NP606Oklahoma City, OK 73104-5047
Mailing Address940 Stanton L Young Blvd, Bmsb 357Oklahoma City, OK 73104-5020
Phone(405) 271-5125
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 4, 2008
✔ NPI 1689844797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in OK · 25469
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
1200 EVERETT DR, Oklahoma City, OK 73104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Sandeep Gajanan Prabhu 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 ID941483838
PECOS Enrollment IDI20110330000982
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.

Hospital Affiliations CMS Care Compare

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

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

GRETCHEN FATHERREE APRN, CNP-NNP
Nurse Practitioner (Neonatal)
1200 EVERETT DR, ETNP 7504
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
LAUREN MCMULLAN PHARMD, BCPPS
Pharmacist (Pediatrics)
1200 EVERETT DR
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MARY ANNE MCCAFFREE MS
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, 7TH FLOOR NORTH PAVILION
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
MR. MICHAEL D MCCOY ARNP
Nurse Practitioner (Neonatal)
1200 EVERETT DR, 7TH FLOOR NP, NEONATAL SECTION, DEPT OF PEDIATRICS
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
SAMUEL LEVIN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
MRS. MELANIE REYNOLDS MS
Nurse Practitioner (Neonatal)
1200 EVERETT DR, 7TH FLOOR NORTH PAVILION
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
MS. VICKIE MARIE BAILEY MD
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, CHNP 7504
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215
LAUREN NICOLE WHITE DO
Pediatrics (Neonatal-Perinatal Medicine)
1200 EVERETT DR, CHNP 7504
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5215

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 Sandeep Prabhu's NPI number?

The NPI number for Sandeep Prabhu is 1689844797. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Sandeep Prabhu located?

Sandeep Prabhu practices at 1200 Everett Dr 1np606, Oklahoma City, OK 73104. The listed phone number is (405) 271-5125.

What is Sandeep Prabhu's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Sandeep Prabhu enrolled in Medicare?

Yes. Sandeep Prabhu 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 Sandeep Prabhu accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Sandeep 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.

Is Sandeep Prabhu affiliated with any hospitals?

According to CMS data, Sandeep Prabhu is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Sandeep Prabhu was last updated on March 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.