MR. GNANAGURDASAN PRAKASAM MD
NPI 1871586065
Pediatrics - Pediatric Endocrinology in Sacramento, CA

Q: What is Gnanagurdasan Prakasam's NPI number?

The NPI number for Gnanagurdasan Prakasam is 1871586065. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Gnanagurdasan Prakasam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Active since August 24, 2005PECOS Enrolled

3814 AUBURN BLVD, 72, SACRAMENTO, CA 95821(916) 426-1902(916) 426-1940 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Gnanagurdasan Prakasam Md NPPES

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

MR. GNANAGURDASAN PRAKASAM MD (NPI 1871586065) is an individual pediatric endocrinology provider in Sacramento, California, licensed in California (A65908) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871586065

Entity TypeIndividualMale

Primary Taxonomy2080P0205X

Provider Legal NameMR. GNANAGURDASAN PRAKASAMCredential: MD

Location Address3814 AUBURN BLVD, 72Sacramento, CA 95821-2123

Mailing Address3814 Auburn Blvd, 72Sacramento, CA 95821-2123 · (916) 426-1902 · Fax (916) 426-1940

Phone(916) 426-1902

Fax(916) 426-1940

Sole ProprietorNo

Enumeration DateAugust 24, 2005

Last NPPES UpdateApril 4, 2013

✔ NPI 1871586065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in CA · A65908

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

3814 AUBURN BLVD, Sacramento, CA 95821

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Other Identifiers 2

Medicaid00A659080CA

Medicare ID-Type Unspecified222006632CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gnanagurdasan Prakasam 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95821 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

Other Providers at the Same Location NPPES 5

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

MADELON ZEGERS

Nurse Practitioner (Pediatrics)