PRASANNA KUMAR BASAVEGOWDA MD
NPI 1790881068
Pediatrics - Neonatal-Perinatal Medicine in Coral Gables, FL

NPI Status: Active since September 15, 2006

Contact Information

5955 PONCE DE LEON BLVD
CORAL GABLES, FL
ZIP 33146
Phone: (305) 662-8668
Fax: (305) 662-3723

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  • Individual
  • Male
  • Pediatrics
  • Neonatal-Perinatal Medicine
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About PRASANNA BASAVEGOWDA

This page provides the complete NPI Profile along with additional information for Prasanna Basavegowda, a pediatrician established in Coral Gables, Florida with a medical specialization in Pediatrics, focusing in neonatal-perinatal medicine . The healthcare provider is registered in the NPI registry with number 1790881068 assigned on September 2006. The practitioner's primary taxonomy code is 2080N0001X with license number ME 76168 (FL). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1790881068
Provider Name
PRASANNA KUMAR BASAVEGOWDA MD
Gender
Male
Entity Type
Individual
Location Address
5955 PONCE DE LEON BLVD CORAL GABLES, FL 33146
Location Phone
(305) 662-8668
Location Fax
(305) 662-3723
Mailing Address
5955 PONCE DE LEON BLVD CORAL GABLES, FL 33146
Mailing Phone
(305) 662-8668
Mailing Fax
(305) 662-3723
Is Sole Proprietor?
No
Enumeration Date
09-15-2006
Last Update Date
07-08-2007
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A pediatrician like Prasanna Basavegowda is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Prasanna Basavegowda opted out of Medicare effective on 07-01-2014 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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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

Pediatrics Neonatal-Perinatal Medicine

Taxonomy Code
2080N0001X
Type
Allopathic & Osteopathic Physicians
License No.
ME 76168
License State
FL
Taxonomy Description
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Prasanna Basavegowda 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 07-01-2014

  • Opt-Out End Date: 07-01-2026

  • Eligible to Order and Refer? 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

Reviews for PRASANNA KUMAR BASAVEGOWDA MD

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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.
1790881068
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801682012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 6 + 8 + 2 + 0 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1790881068 is valid because the calculated check digit 8 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
1669458584DR. FELIPE A. CABALLERO MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 661-1515
1043286339DR. SACHIN THAKUR MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 661-1515
1164489688DR. MANUEL R GONZALEZ-BRITO, DO DO
Individual
Pediatrics (Pediatric Critical Care Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 243-4029
1285673673 SHABBIR JOHER MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 661-1515
1396787370 DEBORAH B WILBUR MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 661-1515
1053327254 JOSE VIDAL MD
Individual
Pediatrics (Pediatric Emergency Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 661-1515
1972614337 BARBARA BARCZYKOWSKA ME
Individual
Pediatrics (Pediatric Emergency Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1144323312 SAMEH M HUSSEIN M.D
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 661-1515
1437255759 OTTO ALDANA-CENTENO MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1801992904 OSVALDO COSTA MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1497851505 OLGA GARCIA MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1639279508 RAKESH KUMAR MITTAL MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1871693788 PENNA MOHAN REDDY MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1396844452 PAUL FASSBACH MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1619077591 MARIA OLIVER MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1326148370 LEONEL G. HERNANDEZ MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1902990120 MARY J PAZOS MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668
1609963495 DAVID B MENDEZ-SOTO MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 661-1515
1386732766 ALLYSON KAYTON RN, MSN, NNP
Individual
Nurse Practitioner (Neonatal)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 661-1515
1144309501 LEON E. TEJIDOR MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)5955 PONCE DE LEON BLVD
CORAL GABLES, FL 33146
(305) 662-8668

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790881068, enumerated in the NPI registry as an "individual" on September 15, 2006

The provider is located at 5955 Ponce De Leon Blvd Coral Gables, Fl 33146 and the phone number is (305) 662-8668

The provider's speciality is Pediatrics with taxonomy code 2080N0001X with a focus in Neonatal-Perinatal Medicine

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

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.

No, the provider signed an affidavit on July 01, 2014 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2026.

This NPI record was last updated on September 15, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.