DR. PRATEEK GHATAGE MD
NPI 1295118594
Internal Medicine - Infectious Disease in Topeka, KS

Active since July 04, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
600 SW JEWELL AVE, TOPEKA, KS 66606(785) 295-5310(785) 295-5370 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Prateek Ghatage Md NPPES

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

DR. PRATEEK GHATAGE MD (NPI 1295118594) is an individual infectious disease provider in Topeka, Kansas, licensed in Kansas (04-42882) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and is a graduate of University Of Vermont College Of Medicine (2020).

NPPES Registry Identity

NPI1295118594
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. PRATEEK GHATAGECredential: MD
Location Address600 SW JEWELL AVETopeka, KS 66606-1607
Mailing Address600 Sw Jewell AveTopeka, KS 66606-1607 · (785) 295-5310 · Fax (785) 295-5370
Fax(785) 295-5370
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2020
Enumeration DateJuly 4, 2015
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
NPI 1295118594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in KS · 04-42882
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
600 SW JEWELL AVE, Topeka, KS 66606

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

Dr. Prateek Ghatage 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 ID9133482482
PECOS Enrollment IDI20200706001874
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 9

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.
167 services76 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.
82 services71 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
56 services35 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.
48 services45 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.
30 services21 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.
29 services22 patients

Hospital Affiliations CMS Care Compare 2

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

2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170016
Location1700 SW 7th StreetTopeka, KS 66606 · Shawnee County
Emergency services Birthing friendly

Stormont Vail Hospital

Acute Care Hospitals · Topeka, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170086
Location1500 SW 10th AvenueTopeka, KS 66604 · Shawnee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66606 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
600 SW JEWELL AVE
TOPEKA, KS 66606
Family Medicine
600 SW JEWELL AVE
TOPEKA, KS 66606
Family Medicine
600 SW JEWELL AVE
TOPEKA, KS 66606
Family Medicine
600 SW JEWELL AVE
TOPEKA, KS 66606
Physician Assistant
600 SW JEWELL AVE
TOPEKA, KS 66606
Physician Assistant
600 SW JEWELL AVE
TOPEKA, KS 66606
Nurse Practitioner (Family)
600 SW JEWELL AVE
TOPEKA, KS 66606
Nurse Practitioner (Family)
600 SW JEWELL AVE
TOPEKA, KS 66606

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 Ghatage's NPI number?

The NPI number for Prateek Ghatage is 1295118594. It was assigned to this individual provider in the NPPES registry on July 4, 2015.

Where is Prateek Ghatage located?

Prateek Ghatage practices at 600 SW Jewell Ave, Topeka, KS 66606. The listed phone number is (785) 295-5310.

What is Prateek Ghatage's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Prateek Ghatage enrolled in Medicare?

Yes. Prateek Ghatage 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 Prateek Ghatage accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Prateek Ghatage 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 Prateek Ghatage affiliated with any hospitals?

According to CMS data, Prateek Ghatage is affiliated with University Of Kansas Health System - St Francis Campus and Stormont Vail Hospital.

When was this NPI record last updated?

The NPPES record for Prateek Ghatage was last updated on March 17, 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.