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

Individual provider Neurological Surgery Physician · NPI 1689657306

Prakash Sampath, MD is a Neurosurgery in Providence, Rhode Island. Graduated from Columbia University College of Physicians and Surgeons in 1992, 34 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
34
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
MA, RI
In the registry since
2005
Specialties on file
2
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

120 Dudley St
Providence, RI 02905-2436
Phone: (401) 273-4155
Fax: (401) 273-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence MD10126 (RI)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 205361 (MA)

Record details

NPI number1689657306
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2005
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address118 Dudley St, Providence, RI 02905-2403

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1992 (34 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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