Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Prabharasuth, MD

Individual provider Urology Physician · NPI 1164846986

Derek Prabharasuth, MD is an Urology in Lafayette, Indiana. Qualified in 2008, 18 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia, Indiana and New York.

Years since qualifying
18
Licensed in
FL, GA, IN, NY
In the registry since
2014
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 838-4758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11760 Sw 40th St Ste 403, Miami, FL 33175-3595 — (305) 226-2020

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 01099585A (IN)
Urology Physician Taxonomy 208800000X · Licence ME122730 (FL)
Urology Physician Taxonomy 208800000X · Licence 60 255424 (NY)
Urology Physician Taxonomy 208800000X · Licence 74307 (GA)

Record details

NPI number1164846986
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 13, 2014
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address250 N Shadeland Ave, Indianapolis, IN 46219-4959

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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