DR. VIJAY N PRABHU M.D.
NPI 1982616538
Internal Medicine - Gastroenterology in Edmond, OK

Q: What is Vijay Prabhu's NPI number?

The NPI number for Vijay Prabhu is 1982616538. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Vijay Prabhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Vijay Prabhu was last updated on May 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment

105 S BRYANT AVE, SUITE 200, EDMOND, OK 73034(405) 340-4937(405) 341-3078 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Vijay N Prabhu M.d. NPPES

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

DR. VIJAY N PRABHU M.D. (NPI 1982616538) is an individual gastroenterology provider in Edmond, Oklahoma, licensed in Oklahoma (18818) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1982616538

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. VIJAY N PRABHUCredential: M.D.

Location Address105 S BRYANT AVE, SUITE 200Edmond, OK 73034-6399

Mailing Address4401 W Memorial Rd, Suite 140Oklahoma City, OK 73134-1785 · (405) 752-3162 · Fax (405) 936-5211

Phone(405) 340-4937

Fax(405) 341-3078

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateAugust 12, 2006

Last NPPES UpdateMay 20, 2014

✔ NPI 1982616538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OK · 18818

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

105 S BRYANT AVE, Edmond, OK 73034

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Other Identifiers 3

Medicare UPINF84910OK

Medicaid10097490AOK

Medicare PIN$$$$$$$$$MOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. Vijay N Prabhu M.d. 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 ID9335276203

PECOS Enrollment IDI20100503000782

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 19

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

236 services235 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

215 services215 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

128 services126 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

108 services108 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

86 services82 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

85 services85 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

80 services80 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

68 services68 patients

New patient office or other outpatient visit, 30-44 minutes 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

60 services60 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

48 services48 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

43 services43 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

42 services40 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

30 services29 patients

Follow-up hospital inpatient care per day, typically 25 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

26 services14 patients

Initial hospital inpatient care per day, typically 70 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

24 services24 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

23 services23 patients

Initial hospital inpatient care per day, typically 50 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Upper gastrointestinal (GI) endoscopy for acid reflux NAN12

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

0 services282 patients

Colonoscopy NAN13

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

0 services627 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73034 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 20

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

CHARLES M GELNAR MD

Surgery

105 S BRYANT AVE, #104
EDMOND, OK 73034

Oklahoma County (405) 216-0956

MRS. KATHLEEN E MASON-MORTON PA

Physician Assistant

105 S BRYANT AVE
EDMOND, OK 73034

Oklahoma County (405) 715-2022

MR. RAY ANTOINE DRAIN MD

Family Medicine

105 S BRYANT AVE, SUITE 203
EDMOND, OK 73034

Oklahoma County (405) 348-3100

DR. SARAH ELIZABETH AYRES M.D.

Family Medicine

105 S BRYANT AVE, SUITE 306
EDMOND, OK 73034

Oklahoma County (405) 340-8918

MOHAMMAD FAZEL KHALILI MD

Internal Medicine

105 S BRYANT AVE, SUITE 202
EDMOND, OK 73034

Oklahoma County (405) 340-4565

VIORICA KHALILI MD

Internal Medicine (Nephrology)

105 S BRYANT AVE, SUITE 202
EDMOND, OK 73034

Oklahoma County (405) 340-4565

DR. MICHAEL D. SWAFFORD PSY.D.

Counselor (Professional)

105 S BRYANT AVE, SUITE 302
EDMOND, OK 73034

Oklahoma County (405) 844-7793

DR. JEREMY COLE MD

Internal Medicine (Sleep Medicine)

105 S BRYANT AVE, SUITE 204B
EDMOND, OK 73034

Oklahoma County (405) 844-5200

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 Vijay Prabhu's NPI number?

The NPI number for Vijay Prabhu is 1982616538. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Vijay Prabhu located?

Vijay Prabhu practices at 105 S Bryant Ave Suite 200, Edmond, OK 73034. The listed phone number is (405) 340-4937.

What is Vijay Prabhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vijay Prabhu enrolled in Medicare?

Yes. Vijay Prabhu 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.

What insurance does Vijay Prabhu accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Vijay Prabhu 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 Vijay Prabhu affiliated with any hospitals?

According to CMS data, Vijay Prabhu is affiliated with Mercy Hospital Oklahoma City, Inc.

When was this NPI record last updated?

The NPPES record for Vijay Prabhu was last updated on May 20, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.