Prasanna Vibhute, MD
NPI 1104832880 · Diagnostic Radiology Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prasanna Vibhute, MD is a Diagnostic Radiology Physician provider in Jacksonville, FL (NPI 1104832880).
Provider details
- NPI number
- 1104832880
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME101794 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,524 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ct Scan Head Or Brain Without Contrast70450 | 359 | $38 |
| Mri Scan of Brain Before and After Contrast70553 | 163 | $289 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 127 | $177 |
| Ct Scan of Blood Vessels of Head With Contrast70496 | 95 | $81 |
| Ct Scan of Blood Vessels of Neck With Contrast70498 | 91 | $76 |
| Mri Scan of Brain Without Contrast70551 | 72 | $181 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2020-09-02
- Certified
- 2020-09-02
Frequently asked questions
- What is Prasanna Vibhute's NPI number?
- Prasanna Vibhute's National Provider Identifier (NPI) is 1104832880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prasanna Vibhute's specialty?
- Prasanna Vibhute is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Prasanna Vibhute located?
- Prasanna Vibhute's practice location on file with NPPES is 4500 San Pablo Rd S, Jacksonville, FL 32224.
- What is Prasanna Vibhute's phone number?
- The practice phone number listed in the NPPES registry for Prasanna Vibhute is (904) 953-2000.
- Does Prasanna Vibhute accept Medicare?
- Prasanna Vibhute is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prasanna Vibhute's NPI active?
- Yes — Prasanna Vibhute's NPI (1104832880) is active in the NPPES registry as of the last update on 2020-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.