1. Home
  2. Directory
  3. Louisiana
  4. New Orleans
  5. Emergency Medicine
  6. NPI Profile

DR. PRATEEK KUMAR ADHIKARI M.D.
NPI 1083788004
Emergency Medicine in New Orleans, LA

Active since November 20, 2006PECOS Enrolled
99.57/100
CMS Quality Rating
1415 TULANE AVE, NEW ORLEANS, LA 70112(504) 988-5711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Prateek Kumar Adhikari M.d. NPPES

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

DR. PRATEEK KUMAR ADHIKARI M.D. (NPI 1083788004) is an individual emergency medicine provider in New Orleans, Louisiana, licensed in Louisiana (025573) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083788004
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PRATEEK KUMAR ADHIKARICredential: M.D.
Location Address1415 TULANE AVENew Orleans, LA 70112-2600
Mailing Address110 Nursery AveMetairie, LA 70005-4224 · (504) 231-3924
Phone(504) 988-5711
Sole ProprietorYes
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083788004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 025573
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1415 TULANE AVE, New Orleans, LA 70112
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI33137LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.Insurance ›

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. Prateek Kumar Adhikari M.d. 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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
64 services63 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
58 services55 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

99.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.73
Improvement Activities40

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. JAMES ROBINSON MD
Pediatrics (Pediatric Infectious Diseases)
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orleans Parish (504) 988-2300
DR. CARLOS GALVANI M.D.
Surgery
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orleans Parish (504) 988-6855
UNIVERSITY HEALTHCARE SYSTEM, L.C.
Rehabilitation Unit
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orleans Parish (504) 588-5263
DR. RAOUL PEDRO RODRIGUEZ MD
Orthopaedic Surgery
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orleans Parish (504) 988-2177
MS. RACHAEL GIOVANNA BORENSTEIN RN
Registered Nurse
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orleans Parish (504) 988-5800
KIMBERLY BIENVENU SMITH CRNA
Nurse Anesthetist, Certified Registered
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orleans Parish (504) 988-6958
EDITH MARIE GABOR N.P.
Family Medicine
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orleans Parish (504) 988-3000
UNIVERSITY HEALTHCARE SYSTEM, L.C.
General Acute Care Hospital
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orleans Parish (504) 588-5263

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 Prateek Adhikari's NPI number?

The NPI number for Prateek Adhikari is 1083788004. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Prateek Adhikari located?

Prateek Adhikari practices at 1415 Tulane Ave, New Orleans, LA 70112. The listed phone number is (504) 988-5711.

What is Prateek Adhikari's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Prateek Adhikari enrolled in Medicare?

Yes. Prateek Adhikari is registered in the Medicare PECOS enrollment system.

What insurance does Prateek Adhikari accept?

Health plans from CHRISTUS Health Plan list Prateek Adhikari 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 Prateek Adhikari was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.