Individual provider

Sumanth Prabhu, MD

Advanced Heart Failure and Transplant Cardiology Physician Internal Medicine Physician Cardiovascular Disease Physician Medicare enrolled

Sumanth Prabhu, MD is an Advanced Heart Failure and Transplant Cardiology Physician in Saint Louis, MO, registered under NPI 1265417992. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4921 PARKVIEW PL DIV IM CARDIOLOGY, STE 8B, Saint Louis, MO 63110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4921 PARKVIEW PL DIV IM CARDIOLOGY, STE 8B, Saint Louis, MO 63110 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2021038192 MO Advanced Heart Failure and Transplant… primary
2021038192 MO Internal Medicine Physician
2021038192 MO Cardiovascular Disease Physician

This provider holds licence 2021038192 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Advanced Heart Failure And Transplant Cardiology
PAC ID
9739210972

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Alabama I20120203000273 Practitioner - Advanced Heart Failure And Transplant Cardiology
Missouri I20211202001651 Practitioner - Advanced Heart Failure And Transplant Cardiology

Medicare enrolment is recorded as approved under the provider type Practitioner - Advanced Heart Failure And Transplant Cardiology. There are 2 separate enrolment records across 2 states (AL, MO). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Advanced Heart Failure and Transplant Cardiology covers

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. NUCC Health Care Provider Taxonomy, code 207RA0001X
Allopathic & Osteopathic Physicians Internal Medicine Advanced Heart Failure and Transplant Cardiology

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RA0001X Advanced Heart Failure and Transplant Cardiology Physician Advanced Heart Failure and Transplant Cardiology 2021038192 MO primary
207R00000X Internal Medicine Physician 2021038192 MO
207RC0000X Cardiovascular Disease Physician Cardiovascular Disease 2021038192 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1265417992 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateDec 15, 2005
Last updatedApr 17, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 4921 PARKVIEW PL
DIV IM CARDIOLOGY, STE 8B
Saint Louis, MO 63110
(314) 362-1291
Fax (314) 362-4278
Mailing address PO BOX 7412011
Chicago, IL 60674
Other identifiers 200102839 · Medicaid (MO)
This record was updated on Apr 17, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1265417992 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 6 5 4 1 7 9 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 3 5 8 1 5 9 9

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1265417992?
NPI 1265417992 is the National Provider Identifier assigned to Sumanth Prabhu, MD in Saint Louis, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Advanced Heart Failure and Transplant Cardiology cover?
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…
How do I contact Sumanth Prabhu, MD?
The phone number on file with NPPES is (314) 362-1291, last updated Apr 17, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Sumanth Prabhu, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1265417992 a valid number?
Yes. 1265417992 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.