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

Dr. Manjeshwar B. Prabhu, MD

Individual provider Internal Medicine Physician · NPI 1770683450

Dr. Manjeshwar B. Prabhu, MD is an Internal Medicine in Decatur, Illinois. Qualified in 1979, 47 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
47
Licensed in
IL
In the registry since
2006
Specialties on file
3
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

1730 E Lake Shore Dr Ste 301
Decatur, IL 62521-3809
Phone: (217) 329-1000
Fax: (217) 329-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 036-083999 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036083999 (IL)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence 036083999 (IL)

Record details

NPI number1770683450
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2006
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPULMONARY DISEASE, SLEEP MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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