DR. SUMANTH DAMODAR PRABHU MD NPI 1265417992

NPI Information

  • NPI: 1265417992
  • Provider Name: DR. SUMANTH DAMODAR PRABHU, MD
  • Classification: Internal Medicine - 207RA0001X
  • Specialization: Advanced Heart Failure and Transplant Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4921 PARKVIEW PL
    DIV IM CARDIOLOGY, STE 8B
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 362-1291

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NPI Details

DR. Sumanth Damodar Prabhu, MD is an advanced heart failure and transplant cardiology internal medicine in Saint Louis, MO with 41 years of experience. The provider is specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. DR. Sumanth Damodar Prabhu, MD NPI is 1265417992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1985

The provider's business location address is:

4921 PARKVIEW PL
DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO
ZIP 63110-032
Phone: (314) 362-1291
Fax: (314) 362-4278

The NPI 1265417992 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 12/15/2005 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine2021038192MISSOURINo
2207RC0000XInternal MedicineCardiovascular Disease2021038192MISSOURINo
3207RA0001XInternal MedicineAdvanced Heart Failure and Transplant Cardiology2021038192MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200102839MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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