MARYKUTTY PRASAD (RN,FNP) – Family Nurse Practitioner, NPI 1568854537
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MARYKUTTY PRASAD (RN,FNP)
22135 W INTERSTATE 10
SAN ANTONIO, TX 782571621
Phone: (210) 219-2246
Type: Location
22135 I H- 10 W CVS MINUTE CLINIC
SAN ANTONIO, TX 782573301
Phone: (210) 698-1643
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: 2015-04-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150427000131 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 41 | 37 | $0 |
| G0008 | Administration of influenza virus vaccine | 31 | 31 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 28 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 25 | 22 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 78257)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | TX | 90670 | Pneumococcal vaccine for injection into muscle | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| O P H T H A L M O L O G Y | TX |
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