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PRASHANT KAUSHIK MD
NPI 1073615324
Internal Medicine in Tahlequah, OK

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
1373 E BOONE ST STE 2300, TAHLEQUAH, OK 74464(918) 207-0025(918) 207-0026 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Dec 15, 2021 (2 updates tracked since 2021).

About Prashant Kaushik Md NPPES

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

PRASHANT KAUSHIK MD (NPI 1073615324) is an individual internal medicine provider in Tahlequah, Oklahoma, licensed in Oklahoma (36301) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1073615324
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRASHANT KAUSHIKCredential: MD
Location Address1373 E BOONE ST STE 2300Tahlequah, OK 74464-3365
Mailing Address1400 E Downing StTahlequah, OK 74464-3324 · (918) 456-0641 · Fax (918) 453-2341
Phone(918) 207-0025
Fax(918) 207-0026
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 5, 2006
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1073615324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 36301
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 · RheumatologyTaxonomy 207RR0500X · License 10324 (ND), 277958 (NY)
1373 E BOONE ST STE 2300, Tahlequah, OK 74464
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Prashant Kaushik Md 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 ID9234039215
PECOS Enrollment IDI20200930000053
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
199 services162 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services98 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Sequoyah County-City Of Sallisaw Hospital Authorit

Acute Care Hospitals · Sallisaw, OK
OwnershipGovernment - Local
CMS Certification Number370112
Location213 East RedwoodSallisaw, OK 74955 · Sequoyah County
Emergency services

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. SARAH SOHAIL KHAN
Internal Medicine
1373 E BOONE ST STE 2300
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0025
DR. CHELSEA ELIZABETH SMITH D.O.
Internal Medicine
1373 E BOONE ST STE 2300
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0025
MRS. VICTORIA HOPE PIERCE APRN
Nurse Practitioner (Acute Care)
1373 E BOONE ST STE 2300
TAHLEQUAH, OK 74464
Cherokee County (918) 207-0226
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
1373 E BOONE ST STE 2300
TAHLEQUAH, OK 74464
Cherokee County (918) 561-8306

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 Prashant Kaushik's NPI number?

The NPI number for Prashant Kaushik is 1073615324. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Prashant Kaushik located?

Prashant Kaushik practices at 1373 E Boone St Ste 2300, Tahlequah, OK 74464. The listed phone number is (918) 207-0025.

What is Prashant Kaushik's specialty?

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

Is Prashant Kaushik enrolled in Medicare?

Yes. Prashant Kaushik 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 Prashant Kaushik accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Prashant Kaushik 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 Prashant Kaushik affiliated with any hospitals?

According to CMS data, Prashant Kaushik is affiliated with Northeastern Health System, Sequoyah County-City Of Sallisaw Hospital Authorit and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Prashant Kaushik was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.