DR. PRASAD POLISETTY (M.D) – Internal Medicine Physician, NPI 1376711291

DR. PRASAD POLISETTY (M.D) is a healthcare provider. based in Norton, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 4301090287 (MI). The NPI Number for DR. PRASAD POLISETTY (M.D) is 1376711291

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. PRASAD POLISETTY (M.D)
NPI
1376711291
Phone
(276) 325-0678
Address
1761 PARK AVE SW
Enumeration Date
13 February 2008
Last Update Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2765966000
Graduation Year
2004 (22 years ago)
PAC ID
5799970398
Group Practice PAC ID
6709937881
Professional Enrollment ID
I20180119000006
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for DR. PRASAD POLISETTY (M.D)

  • 1761, Park Avenue Northwest, Dorchester Junction, Norton, Norton City, Virginia, 24273, United States

    NORTON, VA 242731608

    Phone: (276) 325-0678

    Type: Mailing

  • Saint Joseph Mercy Oakland, 44405, Woodward Avenue, Pontiac, Oakland County, Michigan, 48341, United States

    PONTIAC, MI 483415023

    Phone: (248) 858-3000

    Type: Location

  • 1735 W STATE OF FRANKLIN RD STE 5

    JOHNSON CITY, TN 376046586

    Phone: (423) 646-1862

    Type: Location

  • 204 TIMBER RIDGE DR

    BECKLEY, WV 258013655

    Phone: (248) 633-4262

    Type: Mailing

  • PO BOX 791825

    BALTIMORE, MD 212791825

    Phone: (248) 633-4262

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2023-04-26 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($70).

Total Amount

$70

General + Research + Ownership

Payments

6

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-11-09

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
I20101109000688IInternal MedicineWVTBD

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 minutes4,590585$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes876372$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes838713$0
99239Hospital discharge day management, more than 30 minutes792687$0
99291Critical care, first 30-74 minutes13078$0
View full utilization report →

Insurance plans in this area (ZIP 24273)

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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: 6709937881View full group profile
NameSpecialtyState
Internal MedicineVA
Internal MedicineTN
Hospitalist, Family PracticeVA
H O S P I T A L I S TTN
Internal MedicineNY
Internal Medicine, HospitalistTN
-VA
Family PracticeWV

Reviews

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Frequently asked questions

How do I look up DR. PRASAD POLISETTY (M.D) by NPI?
Use NPI 1376711291 when you need to reference DR. PRASAD POLISETTY (M.D) in forms, claims, or directories.
Is DR. PRASAD POLISETTY (M.D)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. PRASAD POLISETTY (M.D) treat or focus on?
Patients typically see DR. PRASAD POLISETTY (M.D) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. PRASAD POLISETTY (M.D)?
We surface Norton, Virginia for DR. PRASAD POLISETTY (M.D) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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