DR. RAVI K PRAKASH M.D.
NPI 1053575399
Internal Medicine - Gastroenterology in Aurora, IL

Active since July 16, 2008PECOS EnrolledAccepts Medicare Assignment
1221 N HIGHLAND AVE, AURORA, IL 60506(630) 859-8700 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Nov 18, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2016).

About Dr. Ravi K Prakash M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAVI K PRAKASH M.D. (NPI 1053575399) is an individual gastroenterology provider in Aurora, Illinois, licensed in Illinois (036.138013) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Advocate Christ Hospital & Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1053575399
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAVI K PRAKASHCredential: M.D.
Location Address1221 N HIGHLAND AVEAurora, IL 60506-1404
Mailing Address28594 Network PlChicago, IL 60673-1285 · (630) 859-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 16, 2008
Last NPPES UpdateOctober 25, 20224 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1053575399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in IL · 036.138013 Licensed in FL · ME118395
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 57.014359 (OH)
1221 N HIGHLAND AVE, Aurora, IL 60506

Secondary Practice Location 1

Location 12361 Paysphere CirChicago, IL 60674 · Phone (847) 746-4358

Other Identifiers 1

Medicaid012210500FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ravi K Prakash M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850545823
PECOS Enrollment IDI20150812006487
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
206 services195 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
100 services55 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
91 services91 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
70 services70 patients
Review by radiologist of image from tube placement into bile duct using an endoscope 74328
This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.
59 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services57 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1221 N HIGHLAND AVE
AURORA, IL 60506
Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Specialist/Technologist (Athletic Trainer)
1221 N HIGHLAND AVE
AURORA, IL 60506
Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Radiology (Diagnostic Radiology)
1221 N HIGHLAND AVE
AURORA, IL 60506
Physical Therapist
1221 N HIGHLAND AVE
AURORA, IL 60506
Radiology (Diagnostic Radiology)
1221 N HIGHLAND AVE
AURORA, IL 60506
Hospitalist
1221 N HIGHLAND AVE
AURORA, IL 60506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravi Prakash's NPI number?

The NPI number for Ravi Prakash is 1053575399. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Where is Ravi Prakash located?

Ravi Prakash practices at 1221 N Highland Ave, Aurora, IL 60506. The listed phone number is (630) 859-8700.

What is Ravi Prakash's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ravi Prakash enrolled in Medicare?

Yes. Ravi Prakash is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ravi Prakash accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ravi Prakash as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ravi Prakash affiliated with any hospitals?

According to CMS data, Ravi Prakash is affiliated with Advocate Christ Hospital & Medical Center and Advocate Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Ravi Prakash was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.