ANGELINE PRABHU – Infectious Disease Physician, NPI 1245645878

ANGELINE PRABHU is a healthcare provider. based in Canton, Ohio. specializing in INFECTIOUS DISEASE. They hold a License No. 21962 (NV). The NPI Number for ANGELINE PRABHU is 1245645878

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ANGELINE PRABHU
NPI
1245645878
Phone
(303) 363-6223
Address
2600 SIXTH ST SW
Enumeration Date
23 June 2014
Last Update Date
7 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
7618196155
Group Practice PAC ID
7315342094
Professional Enrollment ID
I20220421002144
Address ID
NV891289009LA2435XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

417 INFECTIOUS DISEASE in OH

Provider Addresses for ANGELINE PRABHU

  • 2600 SIXTH ST SW

    CANTON, OH 447101702

    Phone: (303) 363-6223

    Fax: (330) 363-3877

    Type: Mailing

  • 2435 FIRE MESA ST STE 120

    LAS VEGAS, NV 891289009

    Phone: (702) 968-2437

    Fax: (702) 479-1796

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 108 Open Payments records for all available years, with a total value of $2,971.

Total Amount is formed as General ($2,971) + Research ($0) + Ownership ($0) = $2,971.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ViiV Healthcare Company ($888).

Total Amount

$2,971

General + Research + Ownership

Payments

108

Total payment records

General Amount

$2,971

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2022-04-21

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
I20220421002144IInfectious DiseaseNVTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,520437$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes252235$0
99214Established patient office or other outpatient visit, 30-39 minutes11067$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5821$0
99495Transitional care management services for problem of at least moderate complexity1615$0
View full utilization report →

Insurance plans in this area (ZIP 44710)

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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: 7315342094View full group profile
NameSpecialtyState
R H E U M A T O L O G YCA
R H E U M A T O L O G YCT
Nurse PractitionerNV
Internal MedicineNJ
Physical Medicine And RehabilitationCA
Nurse PractitionerNV
R H E U M A T O L O G YNV
Nurse PractitionerFL
R H E U M A T O L O G YUT
R H E U M A T O L O G YCA

Reviews

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Frequently asked questions

What federal number belongs to ANGELINE PRABHU?
The federal identifier for ANGELINE PRABHU is NPI 1245645878.
Is ANGELINE PRABHU's NPI currently valid?
The extract we use shows ANGELINE PRABHU as active.
Does ANGELINE PRABHU list a primary specialty?
If you are matching referrals, note Infectious Disease Physician for ANGELINE PRABHU. Clinical services aligned with this taxonomy classification.
Does ANGELINE PRABHU practice in Ohio?
You will see Canton, Ohio on file for ANGELINE PRABHU alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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