Provider profile

Prabhat TandonMD

Internal Medicine, Endocrinology, Diabetes & Metabolism

NPI 1245265941
10250 SE 167th Place Rd, Suite 5-1, Summerfield, FL 34491352-307-9925

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Medicare Advantage plans for Marion County, FL.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 102 Medicare Advantage plans we show for Marion County, FL in 2027

  • 86 list Prabhat
  • 16 not listed

CarePlus Health Plans, Inc. · Humana

32 plans list Prabhat; not listed on 3 other plans.

32plans
  • CareAccess (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 18550 US Highway 441, Mount Dora, FL, 32757
    • 410 Fern Dr, Leesburg, FL, 34748
    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH1019-144-000Medicare.gov
    $0a month
  • CareFree Giveback (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 18550 US Highway 441, Mount Dora, FL, 32757
    • 410 Fern Dr, Leesburg, FL, 34748
    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH1019-149-000Medicare.gov
    $0a month
  • CareFree Platinum Giveback (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 18550 US Highway 441, Mount Dora, FL, 32757
    • 410 Fern Dr, Leesburg, FL, 34748
    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH1019-138-000Medicare.gov
    $0a month
  • CareOne Plus (HMO-POS)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 18550 US Highway 441, Mount Dora, FL, 32757
    • 410 Fern Dr, Leesburg, FL, 34748
    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH1019-057-000Medicare.gov
    $0a month

UnitedHealthcare

14 plans list Prabhat.

14plans
  • AARP Medicare Advantage from UHC FL-0024 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-016-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC FL-40 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH1045-071-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx FL-MA01 (Regional PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3.5 starsR0759-002-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx FL-MA2 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH2406-130-000Medicare.gov
    $0a month

Freedom Health, Inc. · Optimum HealthCare, Inc. · Simply Healthcare Plans, Inc.

12 plans list Prabhat; not listed on 2 other plans.

12plans
  • Freedom Medicare Plan Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 202, The Villages, FL, 32162
    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH5427-060-000Medicare.gov
    $0a month
  • Freedom Platinum Plan Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 202, The Villages, FL, 32162
    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH5427-094-000Medicare.gov
    $0a month
  • Freedom Platinum Rewards Plan Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 202, The Villages, FL, 32162
    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH5427-096-000Medicare.gov
    $0a month
  • Freedom Savings Plan (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 202, The Villages, FL, 32162
    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH5427-052-000Medicare.gov
    $0a month

Devoted

10 plans list Prabhat.

10plans
  • DEVOTED CORE 027 FL (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 18550 US Highway 441, Mount Dora, FL, 32757
    • 10250 SE 167th Place Rd Unit 5, Summerfield, FL, 34491
    • 410 Fern Dr, Leesburg, FL, 34748

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH1290-027-000Medicare.gov
    $0a month
  • DEVOTED CORE 060 FL (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 18550 US Highway 441, Mount Dora, FL, 32757
    • 10250 SE 167th Place Rd Unit 5, Summerfield, FL, 34491
    • 410 Fern Dr, Leesburg, FL, 34748

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH1290-060-000Medicare.gov
    $0a month
  • DEVOTED GIVEBACK 035 FL (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 18550 US Highway 441, Mount Dora, FL, 32757
    • 10250 SE 167th Place Rd Unit 5, Summerfield, FL, 34491
    • 410 Fern Dr, Leesburg, FL, 34748

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH1290-035-000Medicare.gov
    $0a month
  • DEVOTED GIVEBACK EXTRAS 108 FL (HMO)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 18550 US Highway 441, Mount Dora, FL, 32757
    • 10250 SE 167th Place Rd Unit 5, Summerfield, FL, 34491
    • 410 Fern Dr, Leesburg, FL, 34748

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH1290-108-000Medicare.gov
    $0a month

Aetna Medicare

9 plans list Prabhat.

9plans
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 202, The Villages, FL, 32162
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-306-000Medicare.gov
    $0a month
  • Aetna Medicare Select (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 910 Old Camp Rd, Ste 202, The Villages, FL, 32162
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH1609-021-000Medicare.gov
    $0a month
  • Aetna Medicare Select Extra (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 202, The Villages, FL, 32162
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH1609-028-000Medicare.gov
    $0a month
  • Aetna Medicare Select Extra (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 910 Old Camp Rd, Ste 202, The Villages, FL, 32162
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 410 Fern Dr, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH1609-100-000Medicare.gov
    $0a month

Florida Blue · Florida Blue HMO

6 plans list Prabhat.

6plans
  • BlueMedicare Classic (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH1035-019-000Medicare.gov
    $0a month
  • BlueMedicare Patriot (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3 starsH5434-038-000Medicare.gov
    $0a month
  • BlueMedicare Premier (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH1035-043-000Medicare.gov
    $0a month
  • BlueMedicare Value (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH5434-036-000Medicare.gov
    $0a month

HealthSpring

3 plans list Prabhat.

3plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 200, The Villages, FL, 32162
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH5410-024-000Medicare.gov
    $0a month
  • HealthSpring TotalCare (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 200, The Villages, FL, 32162
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH5410-046-000Medicare.gov
    $7.30a month
  • HealthSpring TotalCare Plus (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10250 SE 167th Place Rd, Unit 5, Summerfield, FL, 34491
    • 910 Old Camp Rd, Ste 200, The Villages, FL, 32162
    • 1801 US Highway 441, Bldg 100, Leesburg, FL, 34748
    • 18550 US Highway 441, Mount Dora, FL, 32757

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH5410-025-000Medicare.gov
    $7.30a month

Florida Complete Care

Not listed on its 1 plan here. That isn't proof they're out of network.

Ultimate Health Plans

Not listed on its 5 plans here. That isn't proof they're out of network.

Wellcare

Not listed on its 5 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Prabhat takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

10250 SE 167th Place Rd, Suite 5-1
Summerfield, FL 34491

NPI Registry
NPI issued
2006
Registry record updated
Jan 12, 2018

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Prabhat Tandon?

In Marion County, FL, 86 Medicare Advantage plans for 2027 list Prabhat in provider data from Medicare.gov or the carrier, including CareAccess (HMO), CareFree Giveback (HMO) and CareFree Platinum Giveback (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Prabhat Tandon take Humana Medicare Advantage plans?

Humana's own provider directory lists Prabhat on 32 Medicare Advantage plans for 2027 in Marion County, FL, including CareAccess (HMO) and CareFree Giveback (HMO). 3 other plans did not return a listing in the search area. Confirm with the office or Humana before you enroll.

Does Prabhat Tandon take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Prabhat on 14 Medicare Advantage plans for 2027 in Marion County, FL, including AARP Medicare Advantage from UHC FL-0024 (PPO) and AARP Medicare Advantage Giveback from UHC FL-40 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Prabhat Tandon take Freedom Health, Inc. Medicare Advantage plans?

Medicare.gov provider data lists Prabhat on 12 Medicare Advantage plans for 2027 in Marion County, FL, including Freedom Medicare Plan Rx (HMO) and Freedom Platinum Plan Rx (HMO). 2 other plans did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Freedom Health, Inc. before you enroll.

Where does Prabhat Tandon practice?

10250 SE 167th Place Rd, Suite 5-1, Summerfield, FL 34491.

How do I confirm Prabhat is in my plan's network?

Call the member services number on your plan card and give them the NPI 1245265941, or ask a Silverpath advisor to check for you. It's free.

Free · No obligation

Talk to a licensed advisor

A Silverpath advisor can confirm Prabhat's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Prabhat Tandon on 11 plans from Florida Complete Care, Ultimate Health Plans and Wellcare in Marion County, FL. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2018-01-12). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Prabhat Tandon or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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