LATHA PRASANNAN (MD) – Pediatric Hematology & Oncology Physician, NPI 1013947043
Pediatric Hematology & Oncology Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LATHA PRASANNAN (MD)
3420, 22nd Place, Lubbock, Texas, 79410, United States
LUBBOCK, TX 794101314
Phone: (806) 725-5844
Fax: (806) 723-6532
Type: Mailing
1901 SW H K Dodgen Loop
Temple, TX 765021814
Phone: (254) 724-5437
Fax: (254) 935-4111
Type: Location
4102, 24th Street, Maxey Park, Lubbock, Texas, 79410, United States
STE 201
LUBBOCK, TX 794101806
Phone: (806) 725-4840
Fax: (806) 725-4847
Type: Location
333 N SANTA ROSA
SAN ANTONIO, TX 782073108
Phone: (210) 704-3030
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $156.
Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.
Last reported payment date: 2023-04-13 • Largest payer in this snapshot: SOBI, INC ($156).
Total Amount
$156
General + Research + Ownership
Payments
2
Total payment records
General Amount
$156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SOBI, INC | $156 |
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: 2012-10-31
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 |
|---|---|---|---|---|
| I20121031000280 | I | Pediatric Medicine | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79410)
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