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

ANJALI PRAKASH
NPI 1962296590
Family Medicine in Long Island City, NY

Active since April 08, 2025PECOS EnrolledAccepts Medicare Assignment
36-11 21ST STREET, LONG ISLAND CITY, NY 11106(718) 482-7772(718) 482-9648 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Apr 8, 2025 (2 updates tracked since 2025).

About Anjali Prakash NPPES

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

ANJALI PRAKASH (NPI 1962296590) is an individual family medicine provider in Long Island City, New York, licensed in New York (335996) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains 14 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962296590
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANJALI PRAKASH
Location Address36-11 21ST STREETLong Island City, NY 11106-4505
Mailing Address44 W 28th St Fl 5New York, NY 10001-4212 · (212) 545-2409
Phone(718) 482-7772
Fax(718) 482-9648
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2025
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1962296590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 335996
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
36-11 21ST STREET, Long Island City, NY 11106
Open in Google Maps ↗

Secondary Practice Locations 14

Location 12581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840
Location 2999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795
Location 3504 W 158th St Fl 5New York, NY 10032-7202 · Phone (917) 521-3130 ext. 3130
Location 4350 Grand St Rm 240New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556
Location 594-98 Manhattan AvenueBrooklyn, NY 11206-2505 · Phone (718) 388-0390 · Fax (718) 486-5741
Location 61880 Bathgate AvenueBRONX, NY 10457-4501 · Phone (718) 294-5891 · Fax (718) 294-2468
Location 71002 Westchester AvenueBRONX, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829
Location 897-02 Sutphin BlvdJAMAICA, NY 11435-9995 · Phone (718) 657-7088 · Fax (718) 657-7092
Location 981 W 115th StNew York, NY 10026-3138 · Phone (212) 426-0088 · Fax (212) 426-8367
Location 1089-44 164th StreetJAMAICA, NY 11432-6103 · Phone (718) 523-2123 · Fax (718) 523-5833
Location 11511 West 157th StreetNEW YORK, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963
Location 12255 East HoustonNEW YORK, NY 10002-2301 · Phone (212) 477-1120 · Fax (212) 477-8957
Location 131167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169
Location 14200 Varick St Rm 900New York, NY 10014-4893 · Phone (212) 620-0340

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

Anjali Prakash 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 ID547787624
PECOS Enrollment IDI20250513000064
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 Anjali Prakash reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Healthcare Network, Inc
2.9 mi
Federally Qualified Health Center (FQHC)
44 W 28TH STREET, FLOOR 5
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group
NPI 1477764496 (212) 545-2439
Project Renewal Inc
3.6 mi
Primary Care
8 EAST THIRD STREET
New York, NY 10003
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1598770018 (212) 620-0340

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11106 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 11

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

SUTHASENTHURAN KANAGALINGAM M.D.
Student in an Organized Health Care Education/Training Program
36-11 21ST STREET
LONG ISLAND, NY 11106
Queens County (646) 226-5213
MIKAYLA JAY CHOULJIAN CNM
Midwife
36-11 21ST STREET
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
DR. SAMEERA ISHAQ-KHAN MD
Student in an Organized Health Care Education/Training Program
36-11 21ST STREET
LONG ISLAND CITY, NY 11106
Queens County (212) 545-6213
NAZISH PERVEZ RD, CDN
Dietitian, Registered
36-11 21ST STREET
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
DR. MALLIKA GOVINDAN MD
Family Medicine
36-11 21ST STREET
LONG ISLAND CITY, NY 11106
Queens County (718) 482-7772
MRS. AISHWARYA SADAGOPAN MBBS
Student in an Organized Health Care Education/Training Program
36-11 21ST STREET
LONG ISLAND CITY, NY 11106
Queens County (212) 545-6213
DR. ADENIYI ODUNAYO FAGBENRO MD
Student in an Organized Health Care Education/Training Program
36-11 21ST STREET
LONG ISLAND, NY 11106
Queens County (646) 226-5213
JASHVINI AMIRTHALINGAM M.D.
Student in an Organized Health Care Education/Training Program
36-11 21ST STREET
LONG ISLAND, NY 11106
Queens County (718) 482-9648

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 Anjali Prakash's NPI number?

The NPI number for Anjali Prakash is 1962296590. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Anjali Prakash located?

Anjali Prakash practices at 36-11 21st Street, Long Island City, NY 11106. The listed phone number is (718) 482-7772.

What is Anjali Prakash's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anjali Prakash enrolled in Medicare?

Yes. Anjali 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 Anjali Prakash's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anjali Prakash reassigns Medicare benefits to 2 organizations: Community Healthcare Network, Inc (New York, NY) and Project Renewal Inc (New York, NY). 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 Anjali Prakash's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anjali Prakash was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.