DR. PRATHIMA RAMAPRASAD M.D.
NPI 1346521101
Internal Medicine in Salt Lake City, UT

Q: What is Prathima Ramaprasad's NPI number?

The NPI number for Prathima Ramaprasad is 1346521101. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Q: What is Prathima Ramaprasad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 07, 2011PECOS EnrolledAccepts Medicare Assignment

1200 E 3900 S, SOUTH SALT LAKE CITY, SALT LAKE CITY, UT 84124(801) 809-0641 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 2, 2018, Mar 17, 2018, Nov 27, 2017 (3 updates tracked since 2017).

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About Dr. Prathima Ramaprasad M.d. NPPES

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

DR. PRATHIMA RAMAPRASAD M.D. (NPI 1346521101) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (799754-1205) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Ogden Regional Medical Center, and maintains a secondary practice location in Murray.

NPPES Registry Identity

NPI1346521101

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. PRATHIMA RAMAPRASADCredential: M.D.

Location Address1200 E 3900 S, SOUTH SALT LAKE CITYSalt Lake City, UT 84124-1300

Mailing AddressPo Box 741073Los Angeles, CA 90074-1073 · (844) 207-4039

Phone(801) 809-0641

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateSeptember 7, 2011

Last NPPES UpdateNovember 2, 20183 updates tracked since enumeration

✔ NPI 1346521101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 799754-1205

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 799754-1205 (UT), MD2018-0878 (NM)

1200 E 3900 S, Salt Lake City, UT 84124

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Secondary Practice Location 1

Location 15505 S 900 E Ste 240Murray, UT 84117-7210 · Phone (801) 783-5011 · Fax (801) 746-3734

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc..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. Prathima Ramaprasad 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 ID9638315500

PECOS Enrollment IDI20130419000105

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 5

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.

51 services23 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.

42 services25 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.

11 services11 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ogden Regional Medical Center

Acute Care Hospitals · Ogden, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460005

Location5475 South 500 EastOgden, UT 84405 · Weber County

Emergency services

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT

OwnershipProprietary

CMS Certification Number460017

Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County

Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460047

Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County

Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460052

Location750 West 800 NorthOrem, UT 84057 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%29 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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers21 claims22 services$15.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers25 claims26 services$67.82 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 20

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

MARK POWELL

Occupational Therapist

1200 E 3900 S
SALT LAKE CITY, UT 84124

Salt Lake County (801) 268-7111

MATTHEW L PETERSON MD

Anesthesiology

1200 E 3900 S
SALT LAKE CITY, UT 84124

Salt Lake County (801) 993-9530

DENNIS L. MORRIS MD

Anesthesiology

1200 E 3900 S
SALT LAKE CITY, UT 84124

Salt Lake County (801) 993-9530

MRS. ELIZABETH ANN LOCKWOOD PT

Physical Therapist

1200 E 3900 S
SALT LAKE CITY, UT 84124

Salt Lake County (801) 268-7111

MRS. AMBER LYNNE HARDMAN DNP

Nurse Practitioner (Critical Care Medicine)

1200 E 3900 S
MILLCREEK, UT 84124

Salt Lake County (801) 268-7111

DR. TAMMY KATHRYNE PARK MD

Emergency Medicine

1200 E 3900 S
SALT LAKE CITY, UT 84124

Salt Lake County (801) 268-7975

DR. ADAM C STILES M.D.

Emergency Medicine

1200 E 3900 S
SALT LAKE CITY, UT 84124

Salt Lake County (801) 268-7975

MS. PAULA ANN LARSEN LCSW

Social Worker (Clinical)

1200 E 3900 S
SALT LAKE CITY, UT 84124

Salt Lake County (801) 268-7111

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 Prathima Ramaprasad's NPI number?

The NPI number for Prathima Ramaprasad is 1346521101. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Where is Prathima Ramaprasad located?

Prathima Ramaprasad practices at 1200 E 3900 S South Salt Lake City, Salt Lake City, UT 84124. The listed phone number is (801) 809-0641.

What is Prathima Ramaprasad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prathima Ramaprasad enrolled in Medicare?

Yes. Prathima Ramaprasad 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 Prathima Ramaprasad accept?

Health plans from Imperial Health Plan of the Southwest, Inc. list Prathima Ramaprasad 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 Prathima Ramaprasad affiliated with any hospitals?

According to CMS data, Prathima Ramaprasad is affiliated with Ogden Regional Medical Center, Brigham City Community Hospital, St Mark's Hospital and Timpanogos Regional Hospital.

When was this NPI record last updated?

The NPPES record for Prathima Ramaprasad was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.