RAHUL MABBU PRASAD (MD) – Hospitalist Physician, NPI 1053845214

RAHUL MABBU PRASAD (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.152076 (OH). The NPI Number for RAHUL MABBU PRASAD (MD) is 1053845214

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
RAHUL MABBU PRASAD (MD)
NPI
1053845214
Phone
(757) 446-6177
Address
358 MOWBRAY ARCH
Enumeration Date
14 April 2017
Last Update Date
21 March 2025

Doctor Profile

Medical School Name
TOLEDO MEDICAL COLLEGE
Secondary Phone
4195577400
Graduation Year
2017 (9 years ago)
PAC ID
7719258854
Group Practice PAC ID
5496648123
Professional Enrollment ID
I20241115003688
Address ID
OH448703323SA1111XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,930 INTERNAL MEDICINE in VA

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Provider Addresses for RAHUL MABBU PRASAD (MD)

  • 358, Mowbray Arch, Ghent, Norfolk, Virginia, 23507, United States

    NORFOLK, VA 235072219

    Phone: (757) 446-6177

    Type: Mailing

  • 825, Fairfax Avenue, Norfolk, Virginia, 23507, United States

    6TH FLOOR

    NORFOLK, VA 235072007

    Phone: (757) 446-8937

    Type: Location

  • 1111 HAYES AVE

    SANDUSKY, OH 448703323

    Phone: (419) 557-7400

    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: 2024-11-15

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
I20241115003688IInternal MedicineOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23507)

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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: 5496648123View full group profile
NameSpecialtyState
Internal MedicineLA
Hospitalist, Internal MedicineOH
Internal MedicineOH
Hospitalist, Internal MedicineOH
-OH
Hospitalist, Internal MedicineOH
Hospitalist, Internal MedicineOH
-OH
Nurse PractitionerOH
Hospitalist, Internal MedicineOH

Reviews

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Frequently asked questions

What is the registry number for RAHUL MABBU PRASAD (MD)?
The registry entry for RAHUL MABBU PRASAD (MD) shows NPI 1053845214.
Is RAHUL MABBU PRASAD (MD) currently accepting referrals based on NPI status?
Registry metadata lists RAHUL MABBU PRASAD (MD) as active.
Which specialty label fits RAHUL MABBU PRASAD (MD)?
NPPES ties RAHUL MABBU PRASAD (MD) to Hospitalist Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RAHUL MABBU PRASAD (MD)?
RAHUL MABBU PRASAD (MD) is associated with Norfolk, Virginia in the same public data insurers reference.
Can I export RAHUL MABBU PRASAD (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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