DR. PRAFULL K DAVE MD PA
NPI 1326008582
Specialist in Frederick, MD

Q: What is Prafull Dave's NPI number?

The NPI number for Prafull Dave is 1326008582. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Q: What is Prafull Dave's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Prafull Dave was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 23, 2006PECOS EnrolledAccepts Medicare Assignment

93.31/100

CMS Quality Rating

188 THOMAS JOHNSON DRIVE, SUITE 200, FREDERICK, MD 21702(301) 898-3010(301) 695-5485 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Prafull K Dave Md Pa NPPES

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

DR. PRAFULL K DAVE MD PA (NPI 1326008582) is an individual specialist in Frederick, Maryland, licensed in Maryland (D0020922) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Alexian Brothers Medical Center 1, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1326008582

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. PRAFULL K DAVECredential: MD PA

Location Address188 THOMAS JOHNSON DRIVE, SUITE 200Frederick, MD 21702

Mailing Address188 Thomas Johnson Dr, Ste 200Frederick, MD 21702-5181 · (301) 898-3010 · Fax (301) 695-5485

Phone(301) 898-3010

Fax(301) 695-5485

Sole ProprietorNo

Medical School CMSOtherGraduated 1975

Enumeration DateMarch 23, 2006

Last NPPES UpdateMarch 25, 2016

✔ NPI 1326008582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MD · D0020922

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

188 THOMAS JOHNSON DRIVE, Frederick, MD 21702

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Other Identifiers 2

Medicare PIN4059021WV

Medicare PIN3114MD

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. Prafull K Dave Md Pa 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 ID6002868437

PECOS Enrollment IDI20110512000014

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 11

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.

428 services185 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.

154 services146 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.

94 services59 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

93 services92 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.

92 services64 patients

Measurement of brain wave activity (eeg), awake and asleep 95819

The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.

75 services68 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.

43 services43 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.

39 services35 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

22 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services11 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.

13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140258

Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County

Emergency services Birthing friendly

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210001

Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County

Emergency services Birthing friendly

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick 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.

93.31/100

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

Individually scored

Quality

72.95

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

95%21 patients

e-Prescribing

86%1,169 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

97%30 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

39%41 patients3/55-star benchmark: 61%

Provide Patients Electronic Access to Their Health Information

100%20 patients5/55-star benchmark: 100%

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 9

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier13 claims67 services$11.14 avg. paid by Medicare

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims616 services$38.12 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers15 claims15 services$32.69 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers12 claims12 services$69.86 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers11 claims23 services$28.80 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

5 suppliers11 claims11 services$47.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Prafull Dave's NPI number?

The NPI number for Prafull Dave is 1326008582. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Prafull Dave located?

Prafull Dave practices at 188 Thomas Johnson Drive Suite 200, Frederick, MD 21702. The listed phone number is (301) 898-3010.

What is Prafull Dave's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Prafull Dave enrolled in Medicare?

Yes. Prafull Dave 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.

Is Prafull Dave affiliated with any hospitals?

According to CMS data, Prafull Dave is affiliated with Alexian Brothers Medical Center 1, Meritus Medical Center and Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Prafull Dave was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.