PRATIK KANABUR
NPI 1831617208
Urology in Santa Monica, CA

Q: What is Pratik Kanabur's NPI number?

The NPI number for Pratik Kanabur is 1831617208. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Q: What is Pratik Kanabur's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Pratik Kanabur was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 06, 2017PECOS EnrolledAccepts Medicare Assignment

1260 15TH ST STE 1200, SANTA MONICA, CA 90404(310) 794-7700 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Pratik Kanabur NPPES

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

PRATIK KANABUR (NPI 1831617208) is an individual urology provider in Santa Monica, California, licensed in California (A187326) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1831617208

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NamePRATIK KANABUR

Location Address1260 15TH ST STE 1200Santa Monica, CA 90404-1147

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 794-7700

Sole ProprietorNo

Medical School CMSVirginia Tech Carilion School Of MedicineGraduated 2018

Enumeration DateSeptember 6, 2017

Last NPPES UpdateJuly 17, 2023

NPPES CertifiedJuly 17, 2023

✔ NPI 1831617208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A187326

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1260 15TH ST STE 1200, Santa Monica, CA 90404

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Secondary Practice Locations 4

Location 115617 Prescott Hill AveCharlotte, NC 28277-2965 · Phone (908) 887-2447

Location 2200 Ucla Medical Plz Ste B265Los Angeles, CA 90095-2965 · Phone (310) 794-7700

Location 3200 Ucla Medical Plz Ste 140Los Angeles, CA 90095-2965 · Phone (310) 206-8164

Location 4200 Ucla Medical Plz Ste 170Los Angeles, CA 90095-2965 · Phone (310) 825-7911

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

Pratik Kanabur 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 ID9739548025

PECOS Enrollment IDI20250812001178

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.

Hospital Affiliations CMS Care Compare 3

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490084

Location618 Hospital RoadTappahannock, VA 22560 · Essex County

Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490098

Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

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

MARY OLUBUKOLA FAKUNLE

Urology