MR. SIDDHARTHA PRASAD (APN.C) – Adult Health Nurse Practitioner, NPI 1295803633
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for MR. SIDDHARTHA PRASAD (APN.C)
1 ROBERT WOOD JOHNSON PL
SPECIAL PROCEDURES
NEW BRUNSWICK, NJ 089011928
Phone: (732) 828-3000
Type: Location
4560, Shadowstone Drive, Churchville, Forks Township, Northampton County, Pennsylvania, 18040, United States
FORKS TOWNSHIP, PA 180406694
Phone: (732) 801-8326
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 $129.
Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.
Last reported payment date: 2024-01-05 • Largest payer in this snapshot: Penumbra, Inc. ($129).
Total Amount
$129
General + Research + Ownership
Payments
1
Total payment records
General Amount
$129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $129 |
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: 2023-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20150513000810 | I | Nurse Practitioner | PA | TBD |
| I20230915003327 | I | Nurse Practitioner | MD | TBD |
| I20231222000519 | I | Nurse Practitioner | NJ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 127 | 95 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 48 | 43 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 21 | $0 |
| 83036 | Hemoglobin a1c level | 14 | 14 | $0 |
Insurance plans in this area (ZIP 08901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MD | |
| General Surgery | MD | |
| Nurse Practitioner | MD |
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