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MR. PRAJAY RATHORE M.D
NPI 1417410887
Internal Medicine in Danbury, CT

Active since April 11, 2019PECOS Enrolled

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Sep 22, 2022, Jul 5, 2019 and 1 more (4 updates tracked since 2019).

About Mr. Prajay Rathore M.d NPPES

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

MR. PRAJAY RATHORE M.D (NPI 1417410887) is an individual internal medicine provider in Danbury, Connecticut, licensed in Connecticut (75662) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fitchburg, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417410887
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. PRAJAY RATHORECredential: M.D
Location Address70 MAIN STDanbury, CT 06810-7832
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 222-5088 · Fax (083) 341-9775
Phone(203) 743-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 11, 2019
Last NPPES UpdateJanuary 18, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1417410887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 75662✔ Licensed in MA · 291275
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.
70 MAIN ST, Danbury, CT 06810
Open in Google Maps ↗

Secondary Practice Location 1

Location 1370 Lunenburg StFitchburg, MA 01420-4541 · Phone (978) 342-6018

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Prajay Rathore M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789915505
PECOS Enrollment IDI20240301002250
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 2

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.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

DANBURY HOSPITAL
Clinic/Center (Dental)
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5010
JILLIAN BERNSTEIN
Student in an Organized Health Care Education/Training Program
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 739-8100
VERONICA IVETTE RON MD
Pediatrics
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5020
DR. MELISSA WHITNEY RODGERS DMD
Dentist (General Practice)
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 798-8840
DR. THOMAS JOSEPH KAHL DDS
Dentist (General Practice)
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5010
DR. MASOOMA BHATTI D.M.D
Student in an Organized Health Care Education/Training Program
70 MAIN ST, DANBURY HOSPITAL, DENTAL CLINIC
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5010
CONNECTICUT INSTITUTE FOR COMMUNITIES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 743-0100
DR. ANNA ADAMS KIMBERLY DMD
Student in an Organized Health Care Education/Training Program
70 MAIN ST
DANBURY, CT 06810
Western Connecticut Planning Region (203) 791-5010

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 Prajay Rathore's NPI number?

The NPI number for Prajay Rathore is 1417410887. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Prajay Rathore located?

Prajay Rathore practices at 70 Main St, Danbury, CT 06810. The listed phone number is (203) 743-0100.

What is Prajay Rathore's specialty?

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

Is Prajay Rathore enrolled in Medicare?

Yes. Prajay Rathore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Prajay Rathore was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.