PRATEEK AVINASH POPHALI MD
NPI 1396205639
Internal Medicine - Hematology & Oncology in Providence, RI

Q: What is Prateek Pophali's NPI number?

The NPI number for Prateek Pophali is 1396205639. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Q: What is Prateek Pophali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Prateek Pophali was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 22, 2019PECOS EnrolledAccepts Medicare Assignment

593 EDDY STREET, APC MAIN, PROVIDENCE, RI 02903(401) 444-5435 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 6, 2025, Mar 22, 2019 (2 updates tracked since 2019).

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About Prateek Avinash Pophali Md NPPES

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

PRATEEK AVINASH POPHALI MD (NPI 1396205639) is an individual hematology & oncology provider in Providence, Rhode Island, licensed in Rhode Island (MD20481) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396205639

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NamePRATEEK AVINASH POPHALICredential: MD

Location Address593 EDDY STREET, APC MAINProvidence, RI 02903

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779

Phone(401) 444-5435

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 22, 2019

Last NPPES UpdateJune 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1396205639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in RI · MD20481

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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

593 EDDY STREET, Providence, RI 02903

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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

Prateek Avinash Pophali 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 ID2961884408

PECOS Enrollment IDI20250624002518

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.

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$177.03 typical visit price

range $58.57 – $177.03

Typical copayment $44.25 (range $14.64 – $44.25)

Most-billed visit code 99205

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

BRIAN F GIRARD CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

PETER W WOLFERSEDER CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

MARIE A MILLS CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

BETH VANPRAAG CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

JONATHAN D URI MD

Anesthesiology

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

CHRISTINE MARIE RAMALHO DMD

Dentist (General Practice)

593 EDDY STREET, JOSEPH SAMUELS DENTAL CENTER AT RIH
PROVIDENCE, RI 02903

Providence County (401) 444-7195

ANGELA THOMAS CRNA

Nurse Anesthetist, Certified Registered

593 EDDY STREET, DAVOL 129
PROVIDENCE, RI 02903

Providence County (401) 444-4933

NICOLE BRETING APRN

Nurse Practitioner

593 EDDY STREET, APC 4
PROVIDENCE, RI 02903

Providence County (401) 553-8355

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 Pophali's NPI number?

The NPI number for Prateek Pophali is 1396205639. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Prateek Pophali located?

Prateek Pophali practices at 593 Eddy Street Apc Main, Providence, RI 02903. The listed phone number is (401) 444-5435.

What is Prateek Pophali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Prateek Pophali enrolled in Medicare?

Yes. Prateek Pophali 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 Prateek Pophali affiliated with any hospitals?

According to CMS data, Prateek Pophali is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Prateek Pophali was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.