DR. ADITYA SUDNAGUNTA PRASAD (M.D.) – Cardiovascular Disease Physician, NPI 1154580074

DR. ADITYA SUDNAGUNTA PRASAD (M.D.) is a healthcare provider. based in Long beach, California. specializing in INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. A103484 (CA). The NPI Number for DR. ADITYA SUDNAGUNTA PRASAD (M.D.) is 1154580074

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADITYA SUDNAGUNTA PRASAD (M.D.)
NPI
1154580074
Phone
(657) 241-8990
Address
3828 SCHAUFELE AVE STE 200
Enumeration Date
5 June 2008
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
6572418990
Graduation Year
2006 (20 years ago)
PAC ID
0547431546
Group Practice PAC ID
8729277314
Professional Enrollment ID
I20110923000277
Address ID
CA908081793LO3828XAVEX301
Telehealth
Yes

Contacts

FHIR Endpoint
https://memorialcare.org/fhir/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness95
Years active:18State licenses:2Other names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DR. ADITYA SUDNAGUNTA PRASAD (M.D.)

  • Schaufele Avenue, Douglas Park, Long Beach, Los Angeles County, California, 90846, United States

    LONG BEACH, CA 908081793

    Phone: (657) 241-8990

    Fax: (714) 665-4664

    Type: Location

  • 17360, Brookhurst Street, Colonia Juarez, Fountain Valley, Orange County, California, 92708, United States

    ATTN: CREDENTIALING DEPARTMENT

    FOUNTAIN VALLEY, CA 927083720

    Phone:

    Type: Mailing

  • 3828 SCHAUFELE AVE STE 250

    LONG BEACH, CA 908081793

    Phone: (657) 241-8990

    Fax: (714) 665-4664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Boston Scientific Corporation ($84).

Total Amount

$236

General + Research + Ownership

Payments

10

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2011-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20110923000277ICardiovascular Disease (Cardiology)CATBD

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function252244$0
99214Established patient office or other outpatient visit, 30-39 minutes186129$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14589$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12669$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6155$0
View full utilization report →

Insurance plans in this area (ZIP 90808)

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Provider's Procedures

DR. ADITYA SUDNAGUNTA PRASAD (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)CA93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart1919

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: 8729277314View full group profile
NameSpecialtyState
-CA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Nurse PractitionerCA
Internal MedicineCA
Internal Medicine, Pediatric MedicineCA
Neurology, Internal MedicineCA
-CA
-CA
-CA

Reviews

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Frequently asked questions

Is there an official ID for DR. ADITYA SUDNAGUNTA PRASAD (M.D.) in U.S. healthcare records?
The official identifier for DR. ADITYA SUDNAGUNTA PRASAD (M.D.) is NPI 1154580074.
Would DR. ADITYA SUDNAGUNTA PRASAD (M.D.) appear as active to a payer?
You can treat DR. ADITYA SUDNAGUNTA PRASAD (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. ADITYA SUDNAGUNTA PRASAD (M.D.)?
DR. ADITYA SUDNAGUNTA PRASAD (M.D.) is associated with Cardiovascular Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ADITYA SUDNAGUNTA PRASAD (M.D.)?
Directory geography for DR. ADITYA SUDNAGUNTA PRASAD (M.D.) centers on Long Beach, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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