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DR. SUMANTH DAMODAR PRABHU MD NPI 1265417992


NPI Information

NPI: 1265417992
Provider Name: DR. SUMANTH DAMODAR PRABHU, MD
Classification: Internal Medicine - 207RA0001X
Entity Type: Individual

Specialization: Advanced Heart Failure and Transplant Cardiology

Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
1 BARNES JEWISH HOSPITAL PLZ
DIV IM CARDIOLOGY
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 362-1291
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DR. Sumanth Damodar Prabhu, MD is an advanced heart failure and transplant cardiology internal medicine in Saint Louis, MO with 39 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:

1 BARNES JEWISH HOSPITAL PLZ
DIV IM CARDIOLOGY
SAINT LOUIS, MO
ZIP 63110-003
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 enumeration date for this NPI number is 12/15/2005 and was last updated on 11/15/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.