DR. PRACHI BALIRAM RAUT M.B.B.S.
NPI 1104113653
Pathology - Clinical Pathology/Laboratory Medicine in Madison, WI

Q: What is Prachi Baliram Raut's NPI number?

The NPI number for Prachi Baliram Raut is 1104113653. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Q: What is Prachi Baliram Raut's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment

303 EAGLE HTS, MADISON, WI 53705(514) 920-7406 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2021, Jun 25, 2021 (2 updates tracked since 2021).

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About Dr. Prachi Baliram Raut M.b.b.s. NPPES

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

DR. PRACHI BALIRAM RAUT M.B.B.S. (NPI 1104113653) is an individual clinical pathology/laboratory medicine provider in Madison, Wisconsin, licensed in Wisconsin (75363) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Pekin Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2023).

NPPES Registry Identity

NPI1104113653

Entity TypeIndividualFemale

Primary Taxonomy207ZP0105X

Provider Legal NameDR. PRACHI BALIRAM RAUTCredential: M.B.B.S.

Location Address303 EAGLE HTSMadison, WI 53705-1767

Mailing Address303 Eagle HtsMadison, WI 53705-1767 · (608) 829-5485

Phone(514) 920-7406

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2023

Enumeration DateJuly 6, 2011

Last NPPES UpdateSeptember 27, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2023

✔ NPI 1104113653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

License✔ Licensed in WI · 75363

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 58661 (MN)

303 EAGLE HTS, Madison, WI 53705

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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. Prachi Baliram Raut M.b.b.s. 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 ID446554752

PECOS Enrollment IDI20250929002337

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 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,463 services825 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

238 services62 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

195 services159 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

71 services55 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

47 services44 patients

Pathology cytologic examination of specimen during surgery, each additional site 88334

A Pathology Cytologic Examination is a test performed during surgery to examine cells from an additional site in your body. This helps identify any abnormal or diseased cells. It's an important tool in diagnosing and managing various conditions.

43 services16 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

40 services15 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

37 services17 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

30 services28 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

21 services16 patients

Pathology cytologic examination of specimen during surgery, initial site 88333

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

19 services19 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

17 services17 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

16 services16 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140120

Location600 South 13th StreetPekin, IL 61554 · Tazewell County

Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141305

Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County

Emergency services

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260195

Location1500 N OaklandBolivar, MO 65613 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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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 Prachi Baliram Raut's NPI number?

The NPI number for Prachi Baliram Raut is 1104113653. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Prachi Baliram Raut located?

Prachi Baliram Raut practices at 303 Eagle Hts, Madison, WI 53705. The listed phone number is (514) 920-7406.

What is Prachi Baliram Raut's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Prachi Baliram Raut enrolled in Medicare?

Yes. Prachi Baliram Raut 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.

Is Prachi Baliram Raut affiliated with any hospitals?

According to CMS data, Prachi Baliram Raut is affiliated with Pekin Memorial Hospital, Methodist Medical Center Of Illinois, Trinity Rock Island, Memorial Hospital and Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Prachi Baliram Raut was last updated on September 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.