DR. LAXMAN PRAJAPAT MD
NPI 1265699912
Internal Medicine - Interventional Cardiology in Butler, PA

Q: What is Laxman Prajapat's NPI number?

The NPI number for Laxman Prajapat is 1265699912. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Laxman Prajapat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Laxman Prajapat was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment

1 HOSPITAL WAY, BUTLER, PA 16001(724) 421-6614 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2026, Aug 7, 2023 (2 updates tracked since 2023).

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About Dr. Laxman Prajapat Md NPPES

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

DR. LAXMAN PRAJAPAT MD (NPI 1265699912) is an individual interventional cardiology provider in Butler, Pennsylvania, licensed in Pennsylvania (MD435107) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265699912

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. LAXMAN PRAJAPATCredential: MD

Location Address1 HOSPITAL WAYButler, PA 16001-4670

Mailing Address149 Seneca PlMars, PA 16046-4003 · (724) 421-7881

Phone(724) 421-6614

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 20, 2008

Last NPPES UpdateJanuary 10, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2026

✔ NPI 1265699912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in PA · MD435107

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD435107 (PA), 239918 (MA)

Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X · License MD435107 (PA)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD435107 (PA), 239918 (MA), 166579 (FL)

1 HOSPITAL WAY, Butler, PA 16001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Laxman Prajapat 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 ID3375771454

PECOS Enrollment IDI20140117000470

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.

Medicare Billing Reassignments

Medicare enrollment records show Laxman Prajapat reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Butler Medical Providers

Same address

Internal Medicine

1 HOSPITAL WAY
Butler, PA 16001

Reassigned Medicare billing, Pennsylvania enrollment
482 clinicians in this Medicare group

NPI 1154514982 (724) 285-0823

Excela Health Physician Practices, Inc.

34 mi

Internal Medicine

4057 OLD WILLIAM PENN HWY
Murrysville, PA 15668

Reassigned Medicare billing, Pennsylvania enrollment
669 clinicians in this Medicare group

NPI 1649542705 (724) 519-7541

Irmc/Bhs Multispecialty Physician Group Inc

40 mi

Cardiovascular Disease

119 PROFESSIONAL CTR, 1265 WAYNE AVENUE, SUITE 206
Indiana, PA 15701

Reassigned Medicare billing, Pennsylvania enrollment
7 clinicians in this Medicare group

NPI 1821541640 (724) 284-5670

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

283 services185 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.

112 services102 patients

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.

84 services51 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

67 services64 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

48 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

31 services17 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

28 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services22 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

21 services14 patients

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.

17 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services16 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

16 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

15 services15 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390093

LocationOne Hospital DriveClarion, PA 16214 · Clarion County

Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390168

LocationOne Hospital WayButler, PA 16001 · Butler County

Emergency services Birthing friendly

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390173

Location835 Hospital RoadIndiana, PA 15701 · Indiana County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

UZMA SHAHZAD MD

Internal Medicine (Infectious Disease)

1 HOSPITAL WAY
BUTLER, PA 16001

Butler County (724) 284-4309

TRICIA LEIGHT CRNP

Nurse Practitioner

1 HOSPITAL WAY
BUTLER, PA 16001

Butler County (724) 283-6666

MELISSE S MASER RN, CRNP

Nurse Practitioner (Family)

1 HOSPITAL WAY
BUTLER, PA 16001

Butler County (724) 284-4699

DALE ORDEAN CRNP

Family Medicine

1 HOSPITAL WAY, FIRST FLOOR
BUTLER, PA 16001

Butler County (724) 431-0550

RICHARD THOMAS FILIAGGI DO

Pediatrics

1 HOSPITAL WAY
BUTLER, PA 16001

Butler County (724) 285-0823

GABRIEL PATRICK ARMANDO PA-C

Physician Assistant

1 HOSPITAL WAY
BUTLER, PA 16001

Butler County (724) 283-6666

DR. STEPHANIE L CLARK M.D.

Internal Medicine

1 HOSPITAL WAY
BUTLER, PA 16001

Butler County (724) 285-0823

MADISON ANN BIGLEY PA-C

Physician Assistant (Medical)

1 HOSPITAL WAY
BUTLER, PA 16001

Butler County (724) 284-4550

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 Laxman Prajapat's NPI number?

The NPI number for Laxman Prajapat is 1265699912. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Laxman Prajapat located?

Laxman Prajapat practices at 1 Hospital Way, Butler, PA 16001. The listed phone number is (724) 421-6614.

What is Laxman Prajapat's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Laxman Prajapat enrolled in Medicare?

Yes. Laxman Prajapat 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.

Which organizations bill Medicare for Laxman Prajapat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laxman Prajapat reassigns Medicare benefits to 3 organizations: Butler Medical Providers (Butler, PA), Excela Health Physician Practices, Inc. (Murrysville, PA) and Irmc/Bhs Multispecialty Physician Group Inc (Indiana, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laxman Prajapat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laxman Prajapat accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Laxman Prajapat 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 Laxman Prajapat affiliated with any hospitals?

According to CMS data, Laxman Prajapat is affiliated with Clarion Hospital, Butler Memorial Hospital and Indiana Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Laxman Prajapat was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.