PRATHILA KARUNAKARAN NAIR (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1235397373
Child & Adolescent Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,050 PSYCHIATRY in NJ
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Provider Addresses for PRATHILA KARUNAKARAN NAIR (M.D.)
71, Wyandotte Avenue, Dumont, Bergen County, New Jersey, 07628, United States
DUMONT, NJ 076282119
Phone: (518) 368-3883
Type: Mailing
Ridgewood Avenue, Paramus, Bergen County, New Jersey, 07652, United States
PARAMUS, NJ 076524142
Phone: (518) 368-3883
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2024-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150115002012 | I | Psychiatry | NJ | TBD |
| I20241101000617 | I | Psychiatry | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 437 | 110 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 83 | 77 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 49 | 43 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 40 | 29 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 22 | $0 |
Insurance plans in this area (ZIP 07628)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | NY | 90792 | Psychiatric diagnostic evaluation with medical services | 27 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| N E P H R O L O G Y | IL | |
| Physician Assistant | NJ | |
| Clinical Social Worker | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| P S Y C H I A T R Y | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ |
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