SURAJ PRAKASH M.D., M.B.A
NPI 1881126787
Radiology - Vascular & Interventional Radiology in Edgewood, KY

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 578-5855(859) 341-4845 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Suraj Prakash M.d., M.b.a NPPES

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

SURAJ PRAKASH M.D., M.B.A (NPI 1881126787) is an individual vascular & interventional radiology provider in Edgewood, Kentucky, licensed in Kentucky (57559) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and maintains a secondary practice location in Crestview Hills.

NPPES Registry Identity

NPI1881126787
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameSURAJ PRAKASHCredential: M.D., M.B.A
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing Address793 W State StColumbus, OH 43222-1551
Fax(859) 341-4845
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2016
Enumeration DateMarch 30, 2017
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1881126787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in KY · 57559
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 01089063A (IN), 57559 (KY)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017

Secondary Practice Location 1

Location 1375 Thomas More Pkwy Ste 209Crestview Hills, KY 41017-2175 · Phone (513) 490-2455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Suraj Prakash M.d., M.b.a 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 ID2466722764
PECOS Enrollment IDI20230719000984, I20230719002461, I20230728001796
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

2

Medicare enrollment records show Suraj Prakash reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1 MEDICAL VILLAGE DR
Edgewood, KY 41017
  • Reassigned Medicare billing, Indiana, Kentucky and Ohio enrollments
  • 32 clinicians in this Medicare group
Gastroenterology
2925 VERNON PL, SUITE 100
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 96 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 39

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
202 services202 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
153 services135 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
148 services148 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
142 services136 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
139 services137 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
120 services120 patients

Hospital Affiliations CMS Care Compare 5

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

St Elizabeth Dearborn Hospital

Acute Care Hospitals · Lawrenceburg, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150086
Location600 Wilson Creek RdLawrenceburg, IN 47025 · Dearborn County
Emergency services Birthing friendly

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Radiology (Diagnostic Radiology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

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 Suraj Prakash's NPI number?

The NPI number for Suraj Prakash is 1881126787. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Suraj Prakash located?

Suraj Prakash practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 578-5855.

What is Suraj Prakash's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Suraj Prakash enrolled in Medicare?

Yes. Suraj Prakash is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Suraj Prakash's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suraj Prakash reassigns Medicare benefits to 2 organizations: Radiology Associates Of Northern Kentucky, PLLC (Edgewood, KY) and Gcga Physicians Inc. (Cincinnati, OH). 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 Suraj Prakash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Suraj Prakash affiliated with any hospitals?

According to CMS data, Suraj Prakash is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Suraj Prakash was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.