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
- 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
- Code Navigator
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.
Location Map
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
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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 | 7 | 9 | 0 | 8 | 8 | 1 | 0 | 6 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 18 | 0 | 16 | 8 | 2 | 0 | 12 | |
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 = 8 | 8 |
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 |
---|---|---|---|
1669458584 | DR. FELIPE A. CABALLERO MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 5955 PONCE DE LEON BLVD CORAL GABLES, FL 33146 (305) 661-1515 |
1043286339 | DR. SACHIN THAKUR MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 5955 PONCE DE LEON BLVD CORAL GABLES, FL 33146 (305) 661-1515 |
1164489688 | DR. 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.