DR. PRAKASH SAMUEL EAPEN (M.D.) – Internal Medicine Physician, NPI 1255595435

DR. PRAKASH SAMUEL EAPEN (M.D.) is a healthcare provider. based in Georgetown, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. P0722 (TX). The NPI Number for DR. PRAKASH SAMUEL EAPEN (M.D.) is 1255595435

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRAKASH SAMUEL EAPEN (M.D.)
NPI
1255595435
Phone
(877) 800-5722
Address
205 E UNIVERSITY AVE STE 200
Enumeration Date
16 July 2008
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5125249249
Graduation Year
1999 (27 years ago)
PAC ID
0042483489
Group Practice PAC ID
5193709392
Professional Enrollment ID
I20111101000294
Address ID
TX787047002AU1221XBLVD501

Contacts

Secure Messaging
prakash.eapen.p1@direct.lscctx.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness95
Years active:17State licenses:1Other names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. PRAKASH SAMUEL EAPEN (M.D.)

  • 200, East University Avenue, Historic Georgetown, Georgetown, Williamson County, Texas, 78626, United States

    GEORGETOWN, TX 786266821

    Phone: (877) 800-5722

    Fax: (512) 869-2940

    Type: Mailing

  • 6210 E HWY 290

    AUSTIN, TX 787231142

    Phone:

    Type: Mailing

  • 4515 SETON CENTER PKWY STE 220

    AUSTIN, TX 787595784

    Phone: (512) 338-8388

    Fax: (512) 406-6274

    Type: Location

  • 200, West Ben White Boulevard, St. Elmo, Austin, Travis County, Texas, 78704, United States

    AUSTIN, TX 787047002

    Phone: (877) 800-5722

    Fax: (512) 326-1682

    Type: Location

  • 2423 WILLIAMS DR STE 107

    GEORGETOWN, TX 786283269

    Phone: (877) 800-5722

    Fax: (512) 869-2940

    Type: Mailing

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-11-01

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
I20111101000294IInternal MedicineTXTBD

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
83036Hemoglobin a1c level6338$0
View full utilization report →

Insurance plans in this area (ZIP 78626)

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Provider's Procedures

DR. PRAKASH SAMUEL EAPEN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX83036Hemoglobin A1C level8166

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: 5193709392View full group profile
NameSpecialtyState
Family PracticeTX
Internal Medicine, Pediatric MedicineTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
P S Y C H I A T R YTX
Family PracticeTX
-TX
-TX
-TX
-TX

Reviews

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Frequently asked questions

What federal number belongs to DR. PRAKASH SAMUEL EAPEN (M.D.)?
The federal identifier for DR. PRAKASH SAMUEL EAPEN (M.D.) is NPI 1255595435.
Is DR. PRAKASH SAMUEL EAPEN (M.D.)'s NPI currently valid?
The extract we use shows DR. PRAKASH SAMUEL EAPEN (M.D.) as active.
Can you summarize DR. PRAKASH SAMUEL EAPEN (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. PRAKASH SAMUEL EAPEN (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. PRAKASH SAMUEL EAPEN (M.D.) practice in Texas?
You will see Georgetown, Texas on file for DR. PRAKASH SAMUEL EAPEN (M.D.) alongside any extra practice locations.
How can I contact DR. PRAKASH SAMUEL EAPEN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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