SHREYA SUMAN PRABHU (MD) – Ophthalmology Physician, NPI 1962661512

SHREYA SUMAN PRABHU (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 35.151074 (OH). The NPI Number for SHREYA SUMAN PRABHU (MD) is 1962661512

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
SHREYA SUMAN PRABHU (MD)
NPI
1962661512
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
7 June 2008
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6142246222
Graduation Year
2008 (18 years ago)
PAC ID
0042467474
Group Practice PAC ID
0941291538
Professional Enrollment ID
I20241106000866
Address ID
OH432052654CO555XXSTXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Digital endpointsOther names

844 OPHTHALMOLOGY in MI

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Provider Addresses for SHREYA SUMAN PRABHU (MD)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Brehm Tower, 1000, Wall Street, Ann Arbor, Washtenaw County, Michigan, 48105, United States

    ANN ARBOR, MI 481051912

    Phone: (734) 764-4190

    Type: Location

  • 1 Childrens Plz

    Dayton, OH 454041815

    Phone: (937) 641-4000

    Fax: (937) 641-4500

    Type: Location

  • 433 N Cleveland Ave

    Westerville, OH 430828095

    Phone: (614) 224-6222

    Type: Location

  • 555 S 18TH ST STE 4C

    COLUMBUS, OH 432052654

    Phone: (614) 224-6222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Horizon Therapeutics plc ($118).

Total Amount

$118

General + Research + Ownership

Payments

1

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Horizon Therapeutics plc$118
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: 2024-11-06

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
I20241106000866IOphthalmologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48108)

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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: 0941291538View full group profile
NameSpecialtyState
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YOH

Reviews

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Frequently asked questions

What federal number belongs to SHREYA SUMAN PRABHU (MD)?
The federal identifier for SHREYA SUMAN PRABHU (MD) is NPI 1962661512.
Is SHREYA SUMAN PRABHU (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SHREYA SUMAN PRABHU (MD) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for SHREYA SUMAN PRABHU (MD). Clinical services aligned with this taxonomy classification.
Where does public data place SHREYA SUMAN PRABHU (MD)?
The snapshot lists Ann Arbor, Michigan for SHREYA SUMAN PRABHU (MD); download NPPES for the complete set.
How can I contact SHREYA SUMAN PRABHU (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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