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PANKAJ PRASUN M.D.
NPI 1699922369
Medical Genetics - Clinical Genetics (M.D.) in Madison, WI

Active since August 25, 2008PECOS EnrolledAccepts Medicare Assignment
1500 HIGHLAND AVE, MADISON, WI 53705(608) 262-2507 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pankaj Prasun M.d. NPPES

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

PANKAJ PRASUN M.D. (NPI 1699922369) is an individual clinical genetics (m.d.) provider in Madison, Wisconsin, licensed in Wisconsin (3675) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1699922369
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NamePANKAJ PRASUNCredential: M.D.
Location Address1500 HIGHLAND AVEMadison, WI 53705-2274
Mailing Address1 Gustave L Levy Pl # 1497New York, NY 10029-6504 · (212) 241-6947 · Fax (212) 860-3316
Phone(608) 262-2507
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 25, 2008
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1699922369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in WI · 3675
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X · License 4301091882 (MI)
1500 HIGHLAND AVE, Madison, WI 53705
Open in Google Maps ↗

Other Identifiers 1

Other5362363NY · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Group Health Cooperative-SCW, HealthPartners.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

Pankaj Prasun M.d. 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 ID8325352230
PECOS Enrollment IDI20240122001400
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.

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

ERIN THOMSON LCSW
Social Worker (Clinical)
1500 HIGHLAND AVE, ROOM 102
MADISON, WI 53705
Dane County (608) 263-5815
ALYSSA WALSH
Psychologist
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-3301
STEPHAN R SCHMID BCBS
Behavior Analyst
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 890-3622
DAVID S WARGOWSKI MD
Medical Genetics (Clinical Genetics (M.D.))
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-6420
MRS. SARAH MARIE MARSHALL
Speech-Language Pathologist
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-3301
MARGARET KOERITZER AU.D.
Audiologist
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-3301
MICHAEL STEPHEN MEYN MD PHD
Medical Genetics (Clinical Genetics (M.D.))
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (608) 263-3301
SAVANNA BRITTLEBANK-DOUGLAS MS
Speech-Language Pathologist
1500 HIGHLAND AVE
MADISON, WI 53705
Dane County (301) 828-8970

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 Pankaj Prasun's NPI number?

The NPI number for Pankaj Prasun is 1699922369. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Pankaj Prasun located?

Pankaj Prasun practices at 1500 Highland Ave, Madison, WI 53705. The listed phone number is (608) 262-2507.

What is Pankaj Prasun's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Pankaj Prasun enrolled in Medicare?

Yes. Pankaj Prasun 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 Pankaj Prasun accept?

Health plans from CareSource, Group Health Cooperative-SCW and HealthPartners list Pankaj Prasun 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 Pankaj Prasun affiliated with any hospitals?

According to CMS data, Pankaj Prasun is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Pankaj Prasun was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.