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ANKUR PRASAD
NPI 1427584085
Internal Medicine - Pulmonary Disease in Madison, WI

Active since May 02, 2017PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE, MADISON, WI 53792(608) 263-6400 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2023, Jun 19, 2019 (2 updates tracked since 2019).

About Ankur Prasad NPPES

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

ANKUR PRASAD (NPI 1427584085) is an individual pulmonary disease provider in Madison, Wisconsin, licensed in Wisconsin (71051) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of University Of Oklahoma College Of Medicine (2017).

NPPES Registry Identity

NPI1427584085
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANKUR PRASAD
Location AddressUW HOSPITALS AND CLINICS 600 HIGHLAND AVEMadison, WI 53792-0001
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-6400
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2017
Enumeration DateMay 2, 2017
Last NPPES UpdateMay 25, 20232 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1427584085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WI · 71051
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 71051-20 (WI)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 71051-20 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE, Madison, WI 53792
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Ankur Prasad 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 ID8729358841
PECOS Enrollment IDI20230605003262
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 9

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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
222 services200 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
177 services173 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
87 services87 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
70 services69 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.
23 services14 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.
19 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Reedsburg Area Medical Center

Critical Access Hospitals · Reedsburg, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521351
Location2000 N Dewey AveReedsburg, WI 53959 · Sauk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

MICHAEL BERGQUIST
Radiology (Diagnostic Radiology)
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
TREVOR LEE SCHELL MD
Internal Medicine
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
CARINE RENNER MD
Pediatrics
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
DR. SCOTT ALAN BLAINE DO
Anesthesiology
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
TREY MORGAN DO
Internal Medicine (Geriatric Medicine)
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
DR. THOMAS DIEHL MD
Surgery
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
MADHURI VSN NISHTALA MD
Surgery
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400
CHRISTOPHER HARRY JOSEPH NYE MD
Student in an Organized Health Care Education/Training Program
UW HOSPITALS AND CLINICS 600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6400

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 Ankur Prasad's NPI number?

The NPI number for Ankur Prasad is 1427584085. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Ankur Prasad located?

Ankur Prasad practices at Uw Hospitals And Clinics 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-6400.

What is Ankur Prasad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ankur Prasad enrolled in Medicare?

Yes. Ankur Prasad 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 Ankur Prasad accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Ankur Prasad 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 Ankur Prasad affiliated with any hospitals?

According to CMS data, Ankur Prasad is affiliated with Uw Health, Unitypoint Health - Meriter, University Of Wi Hospitals & Clinics Authority and Reedsburg Area Medical Center.

When was this NPI record last updated?

The NPPES record for Ankur Prasad was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.