DR. PRASANTH M PRASANNA MD
NPI 1972678845
Radiology - Diagnostic Radiology in Hillsboro, OR
About Dr. Prasanth M Prasanna Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRASANTH M PRASANNA MD (NPI 1972678845) is an individual diagnostic radiology provider in Hillsboro, Oregon, licensed in Oregon (MD156365) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Salem.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Dr. Prasanth M Prasanna Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Prasanth Prasanna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hillsboro, OR 97123
- Reassigned Medicare billing, Oregon enrollment
- 691 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 50
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, OROhsu Hospital And Clinics
Acute Care Hospitals · Portland, ORHillsboro Medical Center
Acute Care Hospitals · Hillsboro, ORAdventist Health Tillamook
Critical Access Hospitals · Tillamook, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HILLSBORO, OR 97123
HILLSBORO, OR 97123
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 Prasanth Prasanna's NPI number?
The NPI number for Prasanth Prasanna is 1972678845. It was assigned to this individual provider in the NPPES registry on November 23, 2006.
Where is Prasanth Prasanna located?
Prasanth Prasanna practices at 335 SE 8th Ave, Hillsboro, OR 97123. The listed phone number is (503) 681-1100.
What is Prasanth Prasanna's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Prasanth Prasanna enrolled in Medicare?
Yes. Prasanth Prasanna 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 organization bills Medicare for Prasanth Prasanna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prasanth Prasanna reassigns Medicare benefits to Tuality Medical Group LLC (Hillsboro, OR). The 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 Prasanth Prasanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prasanth Prasanna accept?
Health plans from Blue Cross Blue Shield of Wyoming and Moda Health Plan, Inc. list Prasanth Prasanna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Prasanth Prasanna affiliated with any hospitals?
According to CMS data, Prasanth Prasanna is affiliated with Providence St Vincent Medical Center, Ohsu Hospital And Clinics, Hillsboro Medical Center and Adventist Health Tillamook.
When was this NPI record last updated?
The NPPES record for Prasanth Prasanna was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.