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PRAKRATI ACHARYA M.B.B.S
NPI 1053750018
Internal Medicine in El Paso, TX

Active since June 22, 2013PECOS Enrolled
4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-5700(915) 215-8641 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2021, Nov 14, 2016, Sep 20, 2016 (3 updates tracked since 2016).

About Prakrati Acharya M.b.b.s NPPES

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

PRAKRATI ACHARYA M.B.B.S (NPI 1053750018) is an individual internal medicine provider in El Paso, Texas, licensed in Mississippi (24462) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053750018
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAKRATI ACHARYACredential: M.B.B.S
Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707
Mailing Address4801 Alberta AveEl Paso, TX 79905-2707 · (915) 215-5700 · Fax (915) 215-8641
Phone(915) 215-5700
Fax(915) 215-8641
Sole ProprietorNo
Enumeration DateJune 22, 2013
Last NPPES UpdateAugust 18, 20213 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1053750018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MS · 24462✔ Licensed in MA · ZSSS43
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License S1965 (TX)
4801 ALBERTA AVE, El Paso, TX 79905
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Other Names 1

Other Name (5)Prakrati Kumar

Other Identifiers 1

Medicaid03321553MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prakrati Acharya M.b.b.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Prakrati Acharya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Tech University Health Sciences Center El Paso
Same address
Obstetrics & Gynecology
4801 ALBERTA AVE.
El Paso, TX 79905
  • Reassigned Medicare billing, Texas enrollment
  • 856 clinicians in this Medicare group
NPI 1568564789 (915) 545-9795

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services27 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
58 services43 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
35 services24 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
21 services19 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79905 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

JOSEPH JEFFREY MILLER
Nurse Practitioner (Family)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5400
DR. ANDREW JONATHEN ORTEGA DO
Internal Medicine (Gastroenterology)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5200
MAJD HAWWAR
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
NATHALIA ARREDONDO APRN
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5300
CARA OGOCHUKWU ORJI MD
Student in an Organized Health Care Education/Training Program
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-8000
ELVIA MARTINEZ LSW/CPW
Case Manager/Care Coordinator
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 545-6990
SCOTT DIESTE
Emergency Medicine
4801 ALBERTA AVE, STE. B3200
EL PASO, TX 79905
El Paso County (915) 215-4600
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
Nurse Practitioner (Acute Care)
4801 ALBERTA AVE
EL PASO, TX 79905
El Paso County (915) 215-5419

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 Prakrati Acharya's NPI number?

The NPI number for Prakrati Acharya is 1053750018. It was assigned to this individual provider in the NPPES registry on June 22, 2013. The provider is also known as Prakrati Kumar.

Where is Prakrati Acharya located?

Prakrati Acharya practices at 4801 Alberta Ave, El Paso, TX 79905. The listed phone number is (915) 215-5700.

What is Prakrati Acharya's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prakrati Acharya enrolled in Medicare?

Yes. Prakrati Acharya is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prakrati Acharya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prakrati Acharya reassigns Medicare benefits to Texas Tech University Health Sciences Center El Paso (El Paso, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prakrati Acharya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prakrati Acharya accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Prakrati Acharya 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.

When was this NPI record last updated?

The NPPES record for Prakrati Acharya was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.