DAFINA PRUTHI M.D.
NPI 1295174514
Internal Medicine - Cardiovascular Disease in Lewiston, ME

Q: What is Dafina Pruthi's NPI number?

The NPI number for Dafina Pruthi is 1295174514. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Q: What is Dafina Pruthi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Dafina Pruthi was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 19, 2013PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

93 CAMPUS AVE, LEWISTON, ME 04240(207) 777-8542(207) 777-8576 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 27, 2019, Aug 15, 2019, Sep 15, 2016 (3 updates tracked since 2016).

On this page

About Dafina Pruthi M.d. NPPES

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

DAFINA PRUTHI M.D. (NPI 1295174514) is an individual cardiovascular disease provider in Lewiston, Maine, licensed in Maine (MD22801) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in North Conway.

NPPES Registry Identity

NPI1295174514

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameDAFINA PRUTHICredential: M.D.

Location Address93 CAMPUS AVELewiston, ME 04240-6030

Mailing Address88 E Newton St, Collamore 7th FloorBoston, MA 02118-2308 · (617) 638-1000

Phone(207) 777-8542

Fax(207) 777-8576

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 19, 2013

Last NPPES UpdateSeptember 27, 20193 updates tracked since enumeration

✔ NPI 1295174514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in ME · MD22801✔ Licensed in MA · 268535✔ Licensed in NH · 19911

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

93 CAMPUS AVE, Lewiston, ME 04240

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Secondary Practice Location 1

Location 13073 White Mountain HwyNorth Conway, NH 03860-7101 · Phone (617) 638-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Dafina Pruthi M.d. 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 ID9133457427

PECOS Enrollment IDI20190823003328

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 15

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.

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.

263 services237 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

146 services146 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.

84 services37 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

42 services42 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.

37 services37 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.

34 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

33 services27 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.

32 services22 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

25 services25 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.

23 services23 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

17 services17 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

14 services14 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

13 services13 patients

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

12 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200034

Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County

Emergency services

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200063

Location6 Glen Cove DriveRockport, ME 04856 · Knox County

Emergency services Birthing friendly

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME

OwnershipVoluntary non-profit - Private

CMS Certification Number201315

Location181 Main StreetNorway, ME 04268 · Oxford County

Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301307

Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

Most-billed visit code 99213

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

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.

ASHLEY BEAULIEU

Psychiatry & Neurology (Psychiatry)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 440-5902

WILLIAM D COLLINS

Emergency Medicine

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8120

CORA LEE GAVETT PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8100

KENDRA ANNE GREENE MSN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 755-3067

KRISTIN M MILBERGER CRNA

Nurse Anesthetist, Certified Registered

93 CAMPUS AVE, ST MARY'S ANESTHESIA ASSOCIATES
LEWISTON, ME 04240

Androscoggin County (207) 755-3715

UMESH C SARMA M.D.

Radiology (Diagnostic Radiology)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8482

JAMES N PLACE M.D.

Radiology (Diagnostic Radiology)

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8482

ANDREA L ERLEY CRNA

Nurse Anesthetist, Certified Registered

93 CAMPUS AVE
LEWISTON, ME 04240

Androscoggin County (207) 777-8442

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 Dafina Pruthi's NPI number?

The NPI number for Dafina Pruthi is 1295174514. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Dafina Pruthi located?

Dafina Pruthi practices at 93 Campus Ave, Lewiston, ME 04240. The listed phone number is (207) 777-8542.

What is Dafina Pruthi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Dafina Pruthi enrolled in Medicare?

Yes. Dafina Pruthi 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 Dafina Pruthi accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Dafina Pruthi 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 Dafina Pruthi affiliated with any hospitals?

According to CMS data, Dafina Pruthi is affiliated with Maine Medical Center, St Mary's Regional Medical Center, Penobscot Bay Medical Center, Stephens Memorial Hospital and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Dafina Pruthi was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.