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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHWETHA VIDYA PRABAKAR
NPI 1801601901
General Practice in Tacoma, WA

Active since February 07, 2025PECOS Enrolled
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1250 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Shwetha Vidya Prabakar NPPES

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

DR. SHWETHA VIDYA PRABAKAR (NPI 1801601901) is an individual general practice provider in Tacoma, Washington, licensed in Colorado (DR.0078546) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801601901
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. SHWETHA VIDYA PRABAKAR
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-1250
Phone(253) 968-1250
Sole ProprietorNo
Enumeration DateFebruary 7, 2025
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1801601901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CO · DR.0078546
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9040 JACKSON AVE, Tacoma, WA 98431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shwetha Vidya Prabakar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Shwetha Prabakar's NPI number?

The NPI number for Shwetha Prabakar is 1801601901. It was assigned to this individual provider in the NPPES registry on February 7, 2025.

Where is Shwetha Prabakar located?

Shwetha Prabakar practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-1250.

What is Shwetha Prabakar's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Shwetha Prabakar enrolled in Medicare?

Yes. Shwetha Prabakar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shwetha Prabakar was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.