Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRABHU DUTT TEWARI MD
NPI 1932787793
Physical Medicine & Rehabilitation - Brain Injury Medicine in Jacksonville, FL

Active since March 31, 2021PECOS Enrolled
3599 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 345-7600 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2026, Mar 31, 2021 (2 updates tracked since 2021).

About Dr. Prabhu Dutt Tewari Md NPPES

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

DR. PRABHU DUTT TEWARI MD (NPI 1932787793) is an individual brain injury medicine provider in Jacksonville, Florida, licensed in Florida (ME181887) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932787793
Entity TypeIndividualMale
Primary Taxonomy2081P0301X
Provider Legal NameDR. PRABHU DUTT TEWARICredential: MD
Location Address3599 UNIVERSITY BLVD SJacksonville, FL 32216-4252
Mailing Address3599 University Blvd SJacksonville, FL 32216-4252 · (904) 345-7600
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1932787793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Brain Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0301X
License Licensed in FL · ME181887
Definition
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
3599 UNIVERSITY BLVD S, Jacksonville, FL 32216

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Prabhu Dutt Tewari 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.

Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Nurse Practitioner (Family)
3599 UNIVERSITY BLVD S, STE. 504
JACKSONVILLE, FL 32216
Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Radiology (Diagnostic Radiology)
3599 UNIVERSITY BLVD S, BUILDING 300
JACKSONVILLE, FL 32216
Internal Medicine (Infectious Disease)
3599 UNIVERSITY BLVD S, BLDG. 500, STE. 504
JACKSONVILLE, FL 32216
Physical Medicine & Rehabilitation
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physical Therapist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Speech-Language Pathologist
3599 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

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 Prabhu Tewari's NPI number?

The NPI number for Prabhu Tewari is 1932787793. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Prabhu Tewari located?

Prabhu Tewari practices at 3599 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 345-7600.

What is Prabhu Tewari's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Brain Injury Medicine, with taxonomy code 2081P0301X.

Is Prabhu Tewari enrolled in Medicare?

Yes. Prabhu Tewari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prabhu Tewari was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.