NISHA ANU PRAKASH M.D.
NPI 1619292331
Hospitalist in Pueblo, CO
NPI Status: Active since April 06, 2010
- Individual
- Female
- Hospitalist
- PECOS Enrolled
About NISHA PRAKASH
This page provides the complete NPI Profile along with additional information for Nisha Prakash, a provider established in Pueblo, Colorado with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1619292331 assigned on April 2010. The practitioner's primary taxonomy code is 208M00000X with license number DR.0054281 (CO). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1619292331
- Provider Name
- NISHA ANU PRAKASH M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 400 W 16TH ST PUEBLO, CO 81003
- Location Phone
- (719) 584-4000
- Mailing Address
- PO BOX 755 SYLVANIA, OH 43560
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-06-2010
- Last Update Date
- 03-17-2018
- Code Navigator
Location Map
Secondary Locations
- 6440 S Millrock Dr Ste 175
Salt Lake City, UT 84121
(866) 615-5536
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DR.0054281
- License State
- CO
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Medicare Participation & PECOS Enrollment Status
Nisha Prakash is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 81003 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $132.55
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $33.13
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.03
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $25.5
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 2 | 9 | 2 | 3 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 4 | 9 | 4 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 4 + 9 + 4 + 3 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1619292331 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992700694 | JAMES E CALDWELL MD Individual | Anesthesiology | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4420 |
| 1801891502 | BRENT A BRUMFIELD MD Individual | Anesthesiology | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4420 |
| 1336144997 | PAUL M RAU CRNA Individual | Nurse Anesthetist, Certified Registered | 400 W 16TH ST PUEBLO, CO 81003 (719) 543-7877 |
| 1295730851 | PHILIP MARK RICKMAN MD Individual | Anesthesiology | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4420 |
| 1467457028 | BRIAN R SANDOVAL MD Individual | Anesthesiology | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4420 |
| 1649276460 | ELIZABETH F. CORNWELL CRNA Individual | Nurse Anesthetist, Certified Registered | 400 W 16TH ST PUEBLO, CO 81003 (719) 543-7877 |
| 1710984307 | JACKI L KIPE CRNA Individual | Nurse Anesthetist, Certified Registered | 400 W 16TH ST PUEBLO, CO 81003 (719) 543-7877 |
| 1164420543 | ANN C VAN VALKENBURG CRNA Individual | Nurse Anesthetist, Certified Registered | 400 W 16TH ST PUEBLO, CO 81003 (719) 543-7877 |
| 1215922745 | CYNTHIA A GARDINER CRNA Individual | Nurse Anesthetist, Certified Registered | 400 W 16TH ST PUEBLO, CO 81003 (719) 543-7877 |
| 1306829486 | DR. ROBERT MACDONALD IV M.D. Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4595 |
| 1689657678 | DONNA B. TILLOTSON D.O. Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4595 |
| 1851374847 | JIM M. TRIONE M.D. Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4595 |
| 1881677961 | DR. THOMAS G. GREIDANUS M.D. Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4595 |
| 1417930405 | PAMELA S. PARKS M.D. Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4306 |
| 1336122167 | MICHAEL J. NERENBERG M.D. Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4306 |
| 1871572115 | DR. ALEXANDER SUTHERLAND M.D. Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4595 |
| 1780655852 | ROBERT RAY WESTERMEYER II M.D. Individual | Emergency Medicine | 400 W 16TH ST SCEMA PUEBLO, CO 81003 (719) 584-4595 |
| 1760456156 | MICHAEL PFANNENSTIEL M.D. Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4306 |
| 1912009069 | SEAN KEENAN MD Individual | Emergency Medicine | 400 W 16TH ST PUEBLO, CO 81003 (719) 584-4000 |
| 1205993458 | DR. BENJAMIN ROPP M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 400 W 16TH ST PUEBLO, CO 81003 (719) 542-0560 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619292331, enumerated in the NPI registry as an "individual" on April 06, 2010
The provider is located at 400 W 16th St Pueblo, Co 81003 and the phone number is (719) 584-4000
The provider's speciality is Hospitalist with taxonomy code 208M00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $132.55 with an average copayment of $33.13 for new patient appointments. Established patients should expect a typical charge of $102.03 and an average copayment of 25.5. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 06, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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