Vijay Prabhakar, M.D.
NPI 1932593167 · Gastroenterology Physician · Fullerton, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vijay Prabhakar, M.D. is a Gastroenterology Physician provider in Fullerton, CA (NPI 1932593167).
Provider details
- NPI number
- 1932593167
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A144053 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
594 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Moderate Sedation Services Provided By the Same Physician Or Other Qualified Health Care Professional Performing a Gastrointestinal Endoscopic Service That Sedation Supports, Requiring the Presence of an Independent Trained Observer to Assist in the MonitoG0500 | 101 | $6 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 90 | $107 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 73 | $257 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 62 | $135 |
| Diagnostic Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43235 | 59 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 85 | 47 |
| Pantoprazole Sodium | 29 | 15 |
| Dicyclomine Hcl | 15 | 11 |
| Cholestyraminebrand: Cholestyramine Light | 14 | — |
| Metronidazole | 12 | 11 |
| Nortriptyline Hcl | 11 | — |
| Budesonidebrand: Budesonide Ec | 11 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,061 across 37 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 15855 Pomona Rincon RdChino Hills, CA 91709-5572Phone: (714) 446-5831Fax: (714) 446-7910
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Frequently asked questions
- What is Vijay Prabhakar's NPI number?
- Vijay Prabhakar's National Provider Identifier (NPI) is 1932593167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vijay Prabhakar's specialty?
- Vijay Prabhakar is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Vijay Prabhakar located?
- Vijay Prabhakar's practice location on file with NPPES is 1837 Sunny Crest Dr, Fullerton, CA 92835-3616.
- What is Vijay Prabhakar's phone number?
- The practice phone number listed in the NPPES registry for Vijay Prabhakar is (714) 446-5831.
- Does Vijay Prabhakar accept Medicare?
- Vijay Prabhakar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vijay Prabhakar's NPI active?
- Yes — Vijay Prabhakar's NPI (1932593167) is active in the NPPES registry as of the last update on 2024-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.