SATEESH PRAKASH (M.D.) – Gastroenterology Physician, NPI 1205021482

SATEESH PRAKASH (M.D.) is a healthcare provider. based in Locust grove, Georgia. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 61317 (GA). The NPI Number for SATEESH PRAKASH (M.D.) is 1205021482

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
SATEESH PRAKASH (M.D.)
NPI
1205021482
Phone
(770) 692-0100
Address
4865 BILL GARDNER PKWY
Enumeration Date
11 September 2007
Last Update Date
11 May 2017

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
7706920100
Graduation Year
2005 (21 years ago)
PAC ID
6002001666
Group Practice PAC ID
3577500214
Professional Enrollment ID
I20101109001460
Address ID
GA302483644LO4865XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

525 GASTROENTEROLOGY in GA

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Provider Addresses for SATEESH PRAKASH (M.D.)

  • Bill Gardner Parkway, Locust Grove, Henry County, Georgia, 30248, United States

    LOCUST GROVE, GA 302483644

    Phone: (770) 692-0100

    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 35 Open Payments records for all available years, with a total value of $839.

Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($233).

Total Amount

$839

General + Research + Ownership

Payments

35

Total payment records

General Amount

$839

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2010-11-09

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
I20101109001460IGastroenterologyGATBD

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 minutes14690$0
99213Established patient office or other outpatient visit, 20-29 minutes7954$0
45380Biopsy of large bowel using a flexible endoscope6059$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope5048$0
99204New patient office or other outpatient visit, 45-59 minutes4747$0
View full utilization report →

Insurance plans in this area (ZIP 30248)

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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: 3577500214View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YWV
Gastroenterology, Internal MedicineND
Nurse PractitionerGA
G A S T R O E N T E R O L O G YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Where can patients find SATEESH PRAKASH (M.D.)'s NPI?
You can confirm SATEESH PRAKASH (M.D.) with NPI 1205021482; it appears in the national provider directory.
Is SATEESH PRAKASH (M.D.) active in the national directory?
SATEESH PRAKASH (M.D.)'s public NPI profile is in an active state.
What kind of provider is SATEESH PRAKASH (M.D.)?
The page reflects Gastroenterology Physician for SATEESH PRAKASH (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for SATEESH PRAKASH (M.D.)?
We surface Locust Grove, Georgia for SATEESH PRAKASH (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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