Dr Prakash Viswanathan, MD - Medicare Gastroenterology in Maple Grove, MN

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Dr Prakash Viswanathan, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Maple Grove, Minnesota. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice New York University and his current practice location is 9855 Hospital Dr Ste 102b, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 581-5600.

Dr Prakash Viswanathan is licensed to practice in Maine (license number MD23388) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649428574.

Contact Information

Dr Prakash Viswanathan, MD
9855 Hospital Dr Ste 102b,
Maple Grove, MN 55369-5021
(763) 581-5600
(763) 581-5601

Map and Direction




Physician's Profile

Full NameDr Prakash Viswanathan
GenderMale
SpecialityGastroenterology
Experience19 Years
Location9855 Hospital Dr Ste 102b, Maple Grove, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Prakash Viswanathan graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1649428574
  • Provider Enumeration Date: 09/04/2008
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365500907
  • Enrollment ID: I20081025000016

Medical Identifiers

Medical identifiers for Dr Prakash Viswanathan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649428574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 250191 (New York)Secondary
207RG0100XInternal Medicine - Gastroenterology 250191 (New York)Secondary
207RG0100XInternal Medicine - Gastroenterology MD23388 (Maine)Primary
207RG0100XInternal Medicine - Gastroenterology 62460 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Long Island Community HospitalPatchogue, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324224431

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Prakash Viswanathan allows following entities to bill medicare on his behalf.
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameAlbany Medical College
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629008537
PECOS PAC ID: 1759293111
Enrollment ID: O20031125000386
Entity NameGastroenterology & Hepatology Of Central New York, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043202641
PECOS PAC ID: 3072505411
Enrollment ID: O20040402001028
Entity NameNassau Health Care Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902822992
PECOS PAC ID: 2961315221
Enrollment ID: O20040619000043
Entity NameMercy Hospital Of Buffalo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164464921
PECOS PAC ID: 8729991666
Enrollment ID: O20040702001253
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20081202000185
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Prakash Viswanathan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Prakash Viswanathan, MD
9855 Hospital Dr Ste 102b,
Maple Grove, MN 55369-5021

Ph: (763) 581-5600		Dr Prakash Viswanathan, MD
9855 Hospital Dr Ste 102b,
Maple Grove, MN 55369-5021

Ph: (763) 581-5600

Reviews and Comments


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Dr. Karin Soby Gilkison, M.D./M.P.H.
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Dr. Kristina R Liaugaudas, M.D.
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Aazim Kamal Omer, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.