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PRADEEP BANGALORE PRAKASH MD
NPI 1831514900
Pediatrics - Pediatric Critical Care Medicine in Green Bay, WI

Active since February 26, 2014PECOS Enrolled
835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: March 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2026, Dec 27, 2024, Feb 21, 2023 and 3 more (6 updates tracked since 2017).

About Pradeep Bangalore Prakash Md NPPES

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

PRADEEP BANGALORE PRAKASH MD (NPI 1831514900) is an individual pediatric critical care medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (72580-20) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831514900
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NamePRADEEP BANGALORE PRAKASHCredential: MD
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526
Mailing Address835 S Van Buren StGreen Bay, WI 54301-3526 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorYes
Enumeration DateFebruary 26, 2014
Last NPPES UpdateMarch 21, 20266 updates tracked since enumeration
NPPES CertifiedMarch 21, 2026
✔ NPI 1831514900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in WI · 72580-20✔ Licensed in WV · 35943
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 72580-20 (WI)
835 S VAN BUREN ST, Green Bay, WI 54301
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Other Names 1

Other Name (5)Pradeep B P Md

Secondary Practice Locations 2

Location 11111 6th AveDes Moines, IA 50314-2611 · Phone (515) 247-3330 · Fax (515) 643-8839
Location 2200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 353-8105 · Fax (319) 356-4855

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pradeep Bangalore Prakash Md 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.

MARY LYNN BARTEL MD
Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. EKMINI WIJESINGHE MD
Hospitalist
835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301
Brown County (920) 272-1586
SALLY SCHLISE MD
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-8184
GREEN BAY ANESTHESIA ASSOC. SC
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
LEE JAMES KLEMENS MD
Internal Medicine
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. REGINALD E JULIEN M.D.
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
ASHLEY M SPINDLER PA
Physician Assistant
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. CHARLES F DAIS II M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-8047

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 Pradeep Bangalore Prakash's NPI number?

The NPI number for Pradeep Bangalore Prakash is 1831514900. It was assigned to this individual provider in the NPPES registry on February 26, 2014. The provider is also known as Pradeep B P MD.

Where is Pradeep Bangalore Prakash located?

Pradeep Bangalore Prakash practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (920) 496-4700.

What is Pradeep Bangalore Prakash's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Pradeep Bangalore Prakash enrolled in Medicare?

Yes. Pradeep Bangalore Prakash is registered in the Medicare PECOS enrollment system.

What insurance does Pradeep Bangalore Prakash accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Medica, Molina Healthcare and Oscar Insurance Company and 1 other insurer list Pradeep Bangalore Prakash 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.

When was this NPI record last updated?

The NPPES record for Pradeep Bangalore Prakash was last updated on March 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.