ABHISHEK PRABHU DO
NPI 1801411657
Emergency Medicine in Lagrange, IN

Active since June 08, 2020PECOS EnrolledAccepts Medicare Assignment
98.41/100
CMS Quality Rating
207 N TOWNLINE RD, LAGRANGE, IN 46761(260) 482-4440 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2025, Apr 20, 2024, Jun 8, 2020 (3 updates tracked since 2020).

About Abhishek Prabhu Do NPPES

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

ABHISHEK PRABHU DO (NPI 1801411657) is an individual emergency medicine provider in Lagrange, Indiana, licensed in Indiana (02006789A) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Parkview Dekalb Hospital, and maintains a secondary practice location in Muncie.

NPPES Registry Identity

NPI1801411657
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameABHISHEK PRABHUCredential: DO
Location Address207 N TOWNLINE RDLagrange, IN 46761-1325
Mailing Address608 Union Chapel RdFort Wayne, IN 46845-9357 · (248) 875-6735
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 8, 2020
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1801411657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in IN · 02006789A Licensed in MI · 5151014320
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

207 N TOWNLINE RD, Lagrange, IN 46761

Secondary Practice Location 1

Location 12401 W University AveMuncie, IN 47303-3428 · Phone (765) 751-1720

Accepted 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

Abhishek Prabhu Do 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 ID6608290028
PECOS Enrollment IDI20220628003030
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
284 services283 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
62 services62 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46761 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

98.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.99
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Emergency Medicine
207 N TOWNLINE RD
LAGRANGE, IN 46761
Dietitian, Registered
207 N TOWNLINE RD
LAGRANGE, IN 46761
Pharmacist
207 N TOWNLINE RD
LAGRANGE, IN 46761
Emergency Medicine
207 N TOWNLINE RD
LAGRANGE, IN 46761
Emergency Medicine
207 N TOWNLINE RD
LAGRANGE, IN 46761
Physical Therapist
207 N TOWNLINE RD
LAGRANGE, IN 46761
General Acute Care Hospital (Critical Access)
207 N TOWNLINE RD
LAGRANGE, IN 46761
Pharmacist
207 N TOWNLINE RD
LAGRANGE, IN 46761

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 Abhishek Prabhu's NPI number?

The NPI number for Abhishek Prabhu is 1801411657. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Abhishek Prabhu located?

Abhishek Prabhu practices at 207 N Townline Rd, Lagrange, IN 46761. The listed phone number is (260) 482-4440.

What is Abhishek Prabhu's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Abhishek Prabhu enrolled in Medicare?

Yes. Abhishek 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 Abhishek Prabhu accept?

Health plans from CareSource list Abhishek 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 Abhishek Prabhu affiliated with any hospitals?

According to CMS data, Abhishek Prabhu is affiliated with Parkview Dekalb Hospital, Indiana University Health Ball Memorial Hospital, Parkview Huntington Hospital, Parkview Whitley Hospital and Parkview Noble Hospital.

When was this NPI record last updated?

The NPPES record for Abhishek Prabhu was last updated on December 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.