CHANNA B PRASAD (M.D.) – Cardiovascular Disease Physician, NPI 1477519445

CHANNA B PRASAD (M.D.) is a healthcare provider. based in Bullhead city, Arizona. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 14827 (AZ). The NPI Number for CHANNA B PRASAD (M.D.) is 1477519445

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
CHANNA B PRASAD (M.D.)
NPI
1477519445
Phone
(928) 758-4114
Address
1648 HIGHWAY 95
Enumeration Date
26 April 2006
Last Update Date
22 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027371427
Graduation Year
1972 (54 years ago)
PAC ID
0749374122
Group Practice PAC ID
7810209525
Professional Enrollment ID
I20070915000287
Address ID
NV891215200LA2470XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

712 CARDIOVASCULAR DISEASE (CARDIOLOGY) in AZ

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Provider Addresses for CHANNA B PRASAD (M.D.)

  • 1648, Mohave Valley Highway, Bullhead City, Mohave County, Arizona, 86442, United States

    BULLHEAD CITY, AZ 864427906

    Phone: (928) 758-4114

    Fax: (928) 758-4650

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,824.

Total Amount is formed as General ($1,824) + Research ($0) + Ownership ($0) = $1,824.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($419).

Total Amount

$1,824

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,824

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070915000287ICardiovascular Disease (Cardiology)NVTBD
I20101028000817ICardiovascular Disease (Cardiology)AZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes612277$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report258234$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month22744$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function216210$0
J2785Injection, regadenoson, 0.1 mg14436$0
View full utilization report →

Insurance plans in this area (ZIP 86442)

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Provider's Procedures

CHANNA B PRASAD (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)AZ93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report368342

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810209525View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineAZ
Nurse PractitionerNV
Nurse PractitionerNV
Cardiovascular Disease (Cardiology), Internal MedicineAZ

Reviews

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Frequently asked questions

Can I cross-check CHANNA B PRASAD (M.D.) using NPI 1477519445?
NPI 1477519445 belongs to CHANNA B PRASAD (M.D.); compare other details if you need extra assurance.
Would CHANNA B PRASAD (M.D.) appear as active to a payer?
You can treat CHANNA B PRASAD (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CHANNA B PRASAD (M.D.)?
CHANNA B PRASAD (M.D.) is associated with Cardiovascular Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
Is CHANNA B PRASAD (M.D.) located near Bullhead City?
CHANNA B PRASAD (M.D.) currently maps to Bullhead City, Arizona in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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