DR. RAJ LARRY PRABHAKAR (DPM) – Podiatrist, NPI 1952900649

DR. RAJ LARRY PRABHAKAR (DPM) is a healthcare provider. based in Winter garden, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO4332 (FL). The NPI Number for DR. RAJ LARRY PRABHAKAR (DPM) is 1952900649

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJ LARRY PRABHAKAR (DPM)
NPI
1952900649
Phone
(407) 605-2321
Address
15815 SHADDOCK DR STE 130
Enumeration Date
22 October 2020
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5613602340
Graduation Year
2019 (7 years ago)
PAC ID
3577925619
Group Practice PAC ID
0042252140
Professional Enrollment ID
I20230822000106
Address ID
FL334614764PA4889XAVEX401

Contacts

Main Contact
Miami
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

1,444 PODIATRY in FL

Provider Addresses for DR. RAJ LARRY PRABHAKAR (DPM)

  • 15815 SHADDOCK DR STE 130

    WINTER GARDEN, FL 347875773

    Phone: (407) 605-2321

    Type: Mailing

  • 4889 S CONGRESS AVE STE 201

    PALM SPRINGS, FL 334614764

    Phone: (561) 360-2340

    Fax: (561) 516-6630

    Type: Location

  • 1025 Military Trl Ste 208

    Jupiter, FL 334587040

    Phone: (561) 781-5062

    Fax: (561) 516-7528

    Type: Location

  • 6020 NW 38TH ST

    VIRGINIA GARDENS, FL 331667007

    Phone: (786) 300-8840

    Type: Mailing

  • 3659 S MIAMI AVE

    MIAMI, FL 331334227

    Phone: (305) 859-7777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $3,868.

Total Amount is formed as General ($3,868) + Research ($0) + Ownership ($0) = $3,868.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Stryker Corporation ($2,999).

Total Amount

$3,868

General + Research + Ownership

Payments

44

Total payment records

General Amount

$3,868

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2023-08-22

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
I20230822000106IPodiatryFLTBD

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
11721Removal of fingernails or toenails, 6 or more nails113101$0
11056Removal of noncancer thickened skin growth, 2-4 growths9786$0
11755Biopsy of fingernail or toenail7171$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes5649$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes5353$0
View full utilization report →

Insurance plans in this area (ZIP 34787)

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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: 0042252140View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YNJ
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YKY
P O D I A T R YFL
P O D I A T R YFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Does DR. RAJ LARRY PRABHAKAR (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. RAJ LARRY PRABHAKAR (DPM) uses 1952900649.
Is DR. RAJ LARRY PRABHAKAR (DPM) still practicing?
DR. RAJ LARRY PRABHAKAR (DPM) is currently listed as active in the public NPI registry.
What healthcare role does DR. RAJ LARRY PRABHAKAR (DPM) hold?
Scheduling teams often label DR. RAJ LARRY PRABHAKAR (DPM) under Podiatrist. Clinical services aligned with this taxonomy classification.
Where is DR. RAJ LARRY PRABHAKAR (DPM) based?
DR. RAJ LARRY PRABHAKAR (DPM) is tied to Winter Garden, Florida in the data we show; additional addresses may exist on the full record.
Is the information about DR. RAJ LARRY PRABHAKAR (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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