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SHYLAJA PRASHANTH M.D
NPI 1720263825
Internal Medicine - Rheumatology in Campbell, CA

Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment
50 E HAMILTON AVE STE 200, CAMPBELL, CA 95008(408) 866-1135 Get Directions Write a Review

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

Record update history: Apr 16, 2024, Oct 24, 2023, Feb 10, 2016 (3 updates tracked since 2016).

About Shylaja Prashanth M.d NPPES

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

SHYLAJA PRASHANTH M.D (NPI 1720263825) is an individual rheumatology provider in Campbell, California, licensed in California (A100963) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1720263825
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSHYLAJA PRASHANTHCredential: M.D
Location Address50 E HAMILTON AVE STE 200Campbell, CA 95008-0251
Mailing Address50 E Hamilton Ave Ste 200Campbell, CA 95008-0251 · (408) 866-1135
Phone(408) 866-1135
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 8, 2008
Last NPPES UpdateApril 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
✔ NPI 1720263825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CA · A100963
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License A100963 (CA)
50 E HAMILTON AVE STE 200, Campbell, CA 95008
Open in Google Maps ↗

Other Names 1

Former Name (1)Shylaja Rachabattula

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

Shylaja Prashanth 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 ID4789858259
PECOS Enrollment IDI20111118000052
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
7,020 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
530 services254 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
194 services88 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
96 services96 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95008 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANGEETHA BALASUBRAMANIAN MD
Internal Medicine (Rheumatology)
50 E HAMILTON AVE STE 200
CAMPBELL, CA 95008
Santa Clara County (408) 866-1135
YONG SOOK LYNDA LEE MD
Internal Medicine (Rheumatology)
50 E HAMILTON AVE STE 200
CAMPBELL, CA 95008
Santa Clara County (408) 866-1135
NEELAKSHI PATEL M.D.
Internal Medicine (Rheumatology)
50 E HAMILTON AVE STE 200
CAMPBELL, CA 95008
Santa Clara County (408) 866-1135
VIDYA PARAMESWARAN M.D.
Internal Medicine (Rheumatology)
50 E HAMILTON AVE STE 200
CAMPBELL, CA 95008
Santa Clara County (408) 866-1135

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 Shylaja Prashanth's NPI number?

The NPI number for Shylaja Prashanth is 1720263825. It was assigned to this individual provider in the NPPES registry on January 8, 2008. The provider is also known as Shylaja Rachabattula.

Where is Shylaja Prashanth located?

Shylaja Prashanth practices at 50 E Hamilton Ave Ste 200, Campbell, CA 95008. The listed phone number is (408) 866-1135.

What is Shylaja Prashanth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shylaja Prashanth enrolled in Medicare?

Yes. Shylaja Prashanth 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.

When was this NPI record last updated?

The NPPES record for Shylaja Prashanth was last updated on April 16, 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.