DR. SANGEETHA PRABHAKARAN MD
NPI 1972766160
Surgery - Surgical Oncology in Albuquerque, NM

Active since July 08, 2008PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
1201 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87102(505) 272-4946 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sangeetha Prabhakaran Md NPPES

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

DR. SANGEETHA PRABHAKARAN MD (NPI 1972766160) is an individual surgical oncology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2016-0869) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1972766160
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. SANGEETHA PRABHAKARANCredential: MD
Location Address1201 CAMINO DE SALUD NEAlbuquerque, NM 87102-4517
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 272-8060
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 8, 2008
Last NPPES UpdateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
NPI 1972766160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in NM · MD2016-0869
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
1201 CAMINO DE SALUD NE, Albuquerque, NM 87102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sangeetha Prabhakaran 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.

PECOS PAC ID4082934195
PECOS Enrollment IDI20170124001012
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.

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

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.

Internal Medicine (Hematology & Oncology)
1201 CAMINO DE SALUD NE, 1 UNM CANCER CENTER, MSC7 4025
ALBUQUERQUE, NM 87102
Internal Medicine (Hematology & Oncology)
1201 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Family)
1201 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102
Pharmacist (Oncology)
1201 CAMINO DE SALUD NE, SUITE 4400
ALBUQUERQUE, NM 87102
Genetic Counselor, MS
1201 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102
Internal Medicine (Hematology & Oncology)
1201 CAMINO DE SALUD NE, UNM CANCER CENTER
ALBUQUERQUE, NM 87102
Radiology (Radiation Oncology)
1201 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102
Internal Medicine (Hematology & Oncology)
1201 CAMINO DE SALUD NE
ALBUQUERQUE, NM 87102

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 Sangeetha Prabhakaran's NPI number?

The NPI number for Sangeetha Prabhakaran is 1972766160. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is Sangeetha Prabhakaran located?

Sangeetha Prabhakaran practices at 1201 Camino De Salud NE, Albuquerque, NM 87102. The listed phone number is (505) 272-4946.

What is Sangeetha Prabhakaran's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Sangeetha Prabhakaran enrolled in Medicare?

Yes. Sangeetha Prabhakaran 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.

Is Sangeetha Prabhakaran affiliated with any hospitals?

According to CMS data, Sangeetha Prabhakaran is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Sangeetha Prabhakaran was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.