PRAVEEN RASTOGI MD, FCCP, ABSM
NPI 1265406375
Sleep Specialist, PhD in Stockbridge, GA

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
915 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281(770) 996-6699(770) 997-4790 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2022, Jan 19, 2021, Feb 6, 2017 (3 updates tracked since 2017).

About Praveen Rastogi Md, Fccp, Absm NPPES

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

PRAVEEN RASTOGI MD, FCCP, ABSM (NPI 1265406375) is an individual sleep specialist, phd provider in Stockbridge, Georgia, licensed in Georgia (26176) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1265406375
Entity TypeIndividualMale
Primary Taxonomy173F00000X
Provider Legal NamePRAVEEN RASTOGICredential: MD, FCCP, ABSM
Location Address915 EAGLES LANDING PKWYStockbridge, GA 30281-5011
Mailing Address915 Eagles Landing PkwyStockbridge, GA 30281-5011 · (770) 996-6699 · Fax (770) 997-4790
Fax(770) 997-4790
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMarch 4, 20223 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
NPI 1265406375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySleep Specialist, PhDOther Service Providers
Taxonomy Code173F00000X
License Licensed in GA · 26176
Definition
Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 26176 (GA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 26176 (GA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 26176 (GA)
915 EAGLES LANDING PKWY, Stockbridge, GA 30281

Other Names 1

Professional Name (2)Praveen Rastogi Md

Other Identifiers 1

Medicaid002866668AGA

Accepted 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

Praveen Rastogi Md, Fccp, Absm 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 ID3072427806
PECOS Enrollment IDI20050811000854
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 18

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
862 services12 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.
739 services422 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
292 services11 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
106 services89 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
76 services72 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
75 services68 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
0%3,325 patients1/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
0%2,556 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
0%2,556 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
98%559 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
0%2,556 patients1/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
3%39 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%2,556 patients1/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
0%2,556 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
31 suppliers1,332 claims1,332 services$32.55 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
34 suppliers895 claims895 services$71.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
32 suppliers893 claims2,423 services$27.53 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
22 suppliers508 claims2,894 services$15.41 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
20 suppliers267 claims1,481 services$12.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
29 suppliers793 claims793 services$48.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Pulmonary Disease)
915 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Specialist
915 EAGLES LANDING PKWY
STOCBRIDGE, GA 30281
Internal Medicine (Pulmonary Disease)
915 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Specialist
915 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Pediatrics
915 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281
Specialist
915 EAGLES LANDING PKWY
STOCKBRIDGE, GA 30281

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 Praveen Rastogi's NPI number?

The NPI number for Praveen Rastogi is 1265406375. It was assigned to this individual provider in the NPPES registry on February 15, 2006. The provider is also known as Praveen Rastogi MD.

Where is Praveen Rastogi located?

Praveen Rastogi practices at 915 Eagles Landing Pkwy, Stockbridge, GA 30281. The listed phone number is (770) 996-6699.

What is Praveen Rastogi's specialty?

The primary specialty registered for this NPI is Sleep Specialist, PhD with taxonomy code 173F00000X.

Is Praveen Rastogi enrolled in Medicare?

Yes. Praveen Rastogi 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 Praveen Rastogi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Praveen Rastogi 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 Praveen Rastogi affiliated with any hospitals?

According to CMS data, Praveen Rastogi is affiliated with Piedmont Henry Hospital and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Praveen Rastogi was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.