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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: October 18, 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 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (319) 353-8105 · Fax (319) 356-4855
Location 21111 6th AveDes Moines, IA 50314-2611 · Phone (515) 247-3330 · Fax (515) 643-8839

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, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Pradeep Bangalore Prakash reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prevea Clinic, Inc.
3.8 mi
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
NPI 1306869276 (920) 496-4700
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
3.8 mi
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
NPI 1285613638 (920) 433-8287
St. Nicholas Hospital-Sisters Of The Third Order Of St Francis
53 mi
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
NPI 1275799413 (920) 496-4700
Mercy Clinics Inc
329 mi
Primary Care
19 E HOWARD ST
Colfax, IA 50054
  • Reassigned Medicare billing, Iowa enrollment
  • 516 clinicians in this Medicare group
NPI 1831110816 (515) 674-4682
Emergency Medicine Services Of Tx, PLLC
1,185 mi
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
NPI 1245938729 (210) 575-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Pradeep Bangalore Prakash's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Bangalore Prakash reassigns Medicare benefits to 5 organizations: Prevea Clinic, Inc. (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI), Mercy Clinics Inc (Colfax, IA) and Emergency Medicine Services Of Tx, PLLC (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pradeep Bangalore Prakash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pradeep Bangalore Prakash accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. 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 7 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.