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MR. RAJAN PRASAI MD
NPI 1245813740
Internal Medicine in Boardman, OH

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment
8401 MARKET ST, BOARDMAN, OH 44512(330) 729-4298 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2024, Aug 2, 2021, May 3, 2021 (3 updates tracked since 2021).

About Mr. Rajan Prasai Md NPPES

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

MR. RAJAN PRASAI MD (NPI 1245813740) is an individual internal medicine provider in Boardman, Ohio, licensed in Ohio (35.150162) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1245813740
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. RAJAN PRASAICredential: MD
Location Address8401 MARKET STBoardman, OH 44512-6725
Mailing Address1350 E Market StreetWarren, OH 44483 · (330) 675-5714 · Fax (330) 675-5721
Phone(330) 729-4298
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 3, 2021
Last NPPES UpdateJune 17, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1245813740 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 OH · 35.150162
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8401 MARKET ST, Boardman, OH 44512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource.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

Mr. Rajan Prasai 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 ID2567906027
PECOS Enrollment IDI20240626001275
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 2

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.
186 services72 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

MRS. JESSICA HARRIMAN AUSTIN DO
Internal Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4298
DR. JEROME CHELLIAH MD, MPH
Obstetrics & Gynecology
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4350
SHREY PATEL DO
Emergency Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-7960
BENJAMIN MINER
Emergency Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-8757
DR. JEANINE AWAD-SPIRTOS M.D.
Emergency Medicine
8401 MARKET ST
YOUNGSTOWN, OH 44512
Mahoning County (330) 729-2929
ANTONIUS SUSATYO HADI MD
Obstetrics & Gynecology
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4350
ROBERT KOLLER DO
Family Medicine
8401 MARKET ST
BOARDMAN, OH 44512
Mahoning County (330) 729-4298
MISS AMBER HUNKUS APRN
Nurse Practitioner (Family)
8401 MARKET ST
YOUNGSTOWN, OH 44512
Mahoning County (330) 729-4298

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 Rajan Prasai's NPI number?

The NPI number for Rajan Prasai is 1245813740. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Rajan Prasai located?

Rajan Prasai practices at 8401 Market St, Boardman, OH 44512. The listed phone number is (330) 729-4298.

What is Rajan Prasai's specialty?

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

Is Rajan Prasai enrolled in Medicare?

Yes. Rajan Prasai 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 Rajan Prasai accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and CareSource list Rajan Prasai 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 Rajan Prasai affiliated with any hospitals?

According to CMS data, Rajan Prasai is affiliated with St Elizabeth Youngstown Hospital and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Rajan Prasai was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.