NICOLE PRABHU (MD) – Cardiovascular Disease Physician, NPI 1770936296

NICOLE PRABHU (MD) is a healthcare provider. based in Aurora, Colorado. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), CARDIAC ELECTROPHYSIOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036-149014 (IL). The NPI Number for NICOLE PRABHU (MD) is 1770936296

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE PRABHU (MD)
NPI
1770936296
Phone
Not provided
Address
PO BOX 110429
Enumeration Date
20 July 2016
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
7208489200
Graduation Year
2016 (10 years ago)
PAC ID
3870887441
Group Practice PAC ID
3476465667
Professional Enrollment ID
I20230824000809
Address ID
CO803031200BO5495XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for NICOLE PRABHU (MD)

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 1717 W. Congress Parkway

    1042 Kellogg

    Chicago, IL 60612

    Phone: (312) 942-5000

    Type: Location

  • 5495 Arapahoe Ave

    Boulder, CO 803031200

    Phone: (720) 848-0000

    Type: Location

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

  • Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States

    CHICAGO, IL 606371443

    Phone: (773) 834-5418

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $793.

Total Amount is formed as General ($793) + Research ($0) + Ownership ($0) = $793.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($171).

Total Amount

$793

General + Research + Ownership

Payments

22

Total payment records

General Amount

$793

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-08-24

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
I20230824000809ICardiovascular Disease (Cardiology)COTBD

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 function2828$0
78452Nuclear medicine studies of heart muscle at rest and with stress and spect2222$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1111$0
View full utilization report →

Insurance plans in this area (ZIP 80042)

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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: 3476465667View full group profile
NameSpecialtyState
-CO
Family PracticeCO
Advanced Heart Failure And Transplant Cardiology, Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineCO
Emergency MedicineCO
Emergency MedicineCO
-CO
-CO
Emergency MedicineCO
-CO
-CO

Reviews

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Frequently asked questions

Does NICOLE PRABHU (MD) have a public NPI I can cite?
Public records show NICOLE PRABHU (MD) under NPI 1770936296.
Quick check: is NICOLE PRABHU (MD) active?
Public NPPES data shows NICOLE PRABHU (MD) with an active NPI status right now.
How should patients interpret NICOLE PRABHU (MD)'s specialty?
The extract shows Cardiovascular Disease Physician for NICOLE PRABHU (MD). Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE PRABHU (MD)?
The directory associates NICOLE PRABHU (MD) with Aurora, Colorado. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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