Suraj Prakash, MD, MBA in Edgewood, KY

Suraj Prakash, MD, MBA is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Edgewood, Kentucky. His current practice location is 1 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 578-5855.

Suraj Prakash is licensed to practice in Kentucky (license number 57559) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881126787.

Contact Information

	Suraj Prakash, MD, MBA
	1 Medical Village Dr, Edgewood, KY 41017-3403
	(859) 578-5855
	(859) 341-4845

Map and Direction

Physician's Profile

Full Name	Suraj Prakash
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	1 Medical Village Dr, Edgewood, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881126787
Provider Enumeration Date: 03/30/2017
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 2466722764
Enrollment ID: I20230719000984

Medical Identifiers

Medical identifiers for Suraj Prakash such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881126787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	01089063A (Indiana)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	57559 (Kentucky)	Primary
2085R0202X	Radiology - Diagnostic Radiology	57559 (Kentucky)	Secondary

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. Suraj Prakash allows following entities to bill medicare on his behalf.

Entity Name	Radiology Associates Of Northern Kentucky Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073595179 PECOS PAC ID: 3779480736 Enrollment ID: O20031217000626

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. Suraj Prakash 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 Address	Practice Location Address
Suraj Prakash, MD, MBA 793 W State St, Columbus, OH 43222-1551 Ph: () -	Suraj Prakash, MD, MBA 1 Medical Village Dr, Edgewood, KY 41017-3403 Ph: (859) 578-5855

Reviews and Comments

Radiology Doctors in Edgewood, KY

Dr. Stephen G Moeller, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932
Dr. Byron W Marks, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932
Dr. Walter R Eiseman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932
Dr. Richard H Laib, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Drive, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932
Dr. James J Roebker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932
Dr. Elizabeth A P Reichard, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932
David Jerome Lubbers, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2160 Fax: 859-301-3932

Suraj Prakash, MD, MBA - Medicare Radiology in Edgewood, KY