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DR. SURESH GOPALAKRISHNA PRABHU MD
NPI 1730111436
Internal Medicine in Las Vegas, NV

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
20.32/100
CMS Quality Rating
7100 SMOKE RANCH RD, LAS VEGAS, NV 89128(702) 545-0751(702) 818-4817 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2023, Aug 16, 2021 (2 updates tracked since 2021).

About Dr. Suresh Gopalakrishna Prabhu Md NPPES

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

DR. SURESH GOPALAKRISHNA PRABHU MD (NPI 1730111436) is an individual internal medicine provider in Las Vegas, Nevada, licensed in Nevada (9867) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Summerlin Hospital Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1730111436
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SURESH GOPALAKRISHNA PRABHUCredential: MD
Location Address7100 SMOKE RANCH RDLas Vegas, NV 89128-8383
Mailing Address7100 Smoke Ranch RdLas Vegas, NV 89128-8383 · (702) 545-0751 · Fax (702) 818-4817
Phone(702) 545-0751
Fax(702) 818-4817
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 6, 2006
Last NPPES UpdateSeptember 4, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2023
✔ NPI 1730111436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NV · 9867
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.
7100 SMOKE RANCH RD, Las Vegas, NV 89128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Dr. Suresh Gopalakrishna 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 ID3779543657
PECOS Enrollment IDI20041014000962
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 9

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.

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.
1,667 services734 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
535 services535 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
523 services523 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
503 services503 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.
446 services275 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.
51 services51 patients

Hospital Affiliations CMS Care Compare

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

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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.

20.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost67.75

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
49%3,275 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
38%1,477 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,477 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
27 suppliers68 claims208 services$5.37 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers39 claims59 services$1.02 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each A4391
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$6.16 avg. paid by Medicare
Skin barrier; solid, 6 x 6 or equivalent, each A5121
DME-Orthotic Devices · category DF010N
1 supplier12 claims220 services$6.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers17 claims17 services$93.76 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims35 services$33.83 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 Suresh Prabhu's NPI number?

The NPI number for Suresh Prabhu is 1730111436. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Suresh Prabhu located?

Suresh Prabhu practices at 7100 Smoke Ranch Rd, Las Vegas, NV 89128. The listed phone number is (702) 545-0751.

What is Suresh Prabhu's specialty?

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

Is Suresh Prabhu enrolled in Medicare?

Yes. Suresh 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 Suresh Prabhu accept?

Health plans from Ambetter from Arizona Complete Health list Suresh 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 Suresh Prabhu affiliated with any hospitals?

According to CMS data, Suresh Prabhu is affiliated with Summerlin Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Suresh Prabhu was last updated on September 4, 2023. 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.