1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Internal Medicine
  6. NPI Profile

DR. AVANI PRABHAKAR MBBS MPH
NPI 1063607059
Internal Medicine in Baltimore, MD

Active since September 12, 2007PECOS Enrolled
74.39/100
CMS Quality Rating
600 N WOLFE STREET, BLALOCK 359, BALTIMORE, MD 21287(410) 955-8305(410) 955-2098 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2023, Feb 18, 2020 (2 updates tracked since 2020).

About Dr. Avani Prabhakar Mbbs Mph NPPES

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

DR. AVANI PRABHAKAR MBBS MPH (NPI 1063607059) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D86504) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1063607059
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. AVANI PRABHAKARCredential: MBBS MPH
Location Address600 N WOLFE STREET, BLALOCK 359Baltimore, MD 21287-0005
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704 · Fax (410) 933-1390
Phone(410) 955-8305
Fax(410) 955-2098
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 12, 2007
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1063607059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MD · D86504✔ Licensed in MI · 4301091512
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.
600 N WOLFE STREET, Baltimore, MD 21287
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Avani Laxmandas Patel Mbbs Mph

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Avani Prabhakar Mbbs Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183755895
PECOS Enrollment IDI20190514001936
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 4

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
97 services59 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.
90 services42 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
62 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services55 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

DR. WHITNEY ERIN PARKER MD, PHD
Neurological Surgery
600 N WOLFE STREET, PHIPPS 554
BALTIMORE, MD 21287
Baltimore City (410) 955-7851
RACHEL AARON PHD
Psychologist (Clinical)
600 N WOLFE STREET, MEYER 163
BALTIMORE, MD 21287
Baltimore City (410) 614-4030
ALLISON WEAVER MD
Internal Medicine
600 N WOLFE STREET, MEYER 8-134
BALTIMORE, MD 21287
Baltimore City (410) 614-4474
DR. JANA CHRISTIAN MD
Internal Medicine
600 N WOLFE STREET, MEYER 8-134
BALTIMORE, MD 21287
Baltimore City (410) 614-4474
JESINTHA STEPHENSON MD
Hospitalist
600 N WOLFE STREET, MEYER 8-134
BALTIMORE, MD 21287
Baltimore City (410) 614-4474
HAMILTON MOSES III M.D.
Psychiatry & Neurology (Neurology)
600 N WOLFE STREET, THE JOHNS HOPKINS HOSPITAL
BALTIMORE, MD 21287
Baltimore City (434) 984-2016
DR. GERARD LIMERICK MD
Physical Medicine & Rehabilitation
600 N WOLFE STREET, NELSON 2-131
BALTIMORE, MD 21287
Baltimore City (410) 955-1818
DR. COLIN KANE OD
Optometrist
600 N WOLFE STREET, WILMER 233
BALTIMORE, MD 21287
Baltimore City (410) 955-8679

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 Avani Prabhakar's NPI number?

The NPI number for Avani Prabhakar is 1063607059. It was assigned to this individual provider in the NPPES registry on September 12, 2007. The provider is also known as Dr. Avani Laxmandas Patel Mbbs Mph.

Where is Avani Prabhakar located?

Avani Prabhakar practices at 600 N Wolfe Street Blalock 359, Baltimore, MD 21287. The listed phone number is (410) 955-8305.

What is Avani Prabhakar's specialty?

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

Is Avani Prabhakar enrolled in Medicare?

Yes. Avani Prabhakar is registered in the Medicare PECOS enrollment system.

Is Avani Prabhakar affiliated with any hospitals?

According to CMS data, Avani Prabhakar is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Avani Prabhakar was last updated on May 19, 2023. 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.