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

Dr. Siddharth Prakash, MD

Individual provider Diagnostic Radiology Physician · NPI 1477761203

Dr. Siddharth Prakash, MD is a Diagnostic Radiology in Staten Island, New York. Graduated from University of Missouri, Columbia School of Medicine in 2002, 24 years ago. Practices with Comprehensive MRI of New York PC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
NY
In the registry since
2007
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

2025 Richmond Ave Ste 1A
Staten Island, NY 10314-3915
Phone: (718) 494-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 E 68th St, New York, NY 10065-6001 — (212) 879-4488

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 243250 (NY)

Record details

NPI number1477761203
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Comprehensive Mri Of New York Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations18 on file with Medicare

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