PRAJAKTA MOHAN PHATAK MD
NPI 1497009815
Internal Medicine - Cardiovascular Disease in Cincinnati, OH
About Prajakta Mohan Phatak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAJAKTA MOHAN PHATAK MD (NPI 1497009815) is an individual cardiovascular disease provider in Cincinnati, Ohio, licensed in Ohio (35138578) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Lake Pointe, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Prajakta Mohan Phatak 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.
Medicare Billing Reassignment
Medicare enrollment records show Prajakta Phatak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Heath, TX 75032
- Reassigned Medicare billing, Texas enrollment
- 3,167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 15
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor Scott And White Medical Center Lake Pointe
Acute Care Hospitals · Rowlett, TXBaylor Scott & White Medical Center Plano
Acute Care Hospitals · Plano, TXThe Heart Hospital Baylor Denton
Acute Care Hospitals · Denton, TXBaylor Scott & White The Heart Hospital - Plano
Acute Care Hospitals · Plano, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CINCINNATI, OH 45219
CINCINNATI, OH 45219
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 Prajakta Phatak's NPI number?
The NPI number for Prajakta Phatak is 1497009815. It was assigned to this individual provider in the NPPES registry on November 7, 2012.
Where is Prajakta Phatak located?
Prajakta Phatak practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 475-8521.
What is Prajakta Phatak's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Prajakta Phatak enrolled in Medicare?
Yes. Prajakta Phatak 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.
Which organization bills Medicare for Prajakta Phatak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prajakta Phatak reassigns Medicare benefits to Healthtexas Provider Network (Heath, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Prajakta Phatak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prajakta Phatak accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CareSource list Prajakta Phatak 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 Prajakta Phatak affiliated with any hospitals?
According to CMS data, Prajakta Phatak is affiliated with Baylor Scott And White Medical Center Lake Pointe, Baylor Scott & White Medical Center Plano, The Heart Hospital Baylor Denton and Baylor Scott & White The Heart Hospital - Plano.
When was this NPI record last updated?
The NPPES record for Prajakta Phatak was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Prajakta Mohan Phatak, MD · NPI 1497009815
Cardiovascular Disease physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since November 7, 2012.
## Identity
- **NPI:** 1497009815 (Entity type: Individual)
- **Enumerated:** November 7, 2012
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 35138578 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 234 GOODMAN ST, Cincinnati, OH 45219-2364
- **Phone:** (513) 475-8521 · **Fax:** (513) 475-7480
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthtexas Provider Network (NPI 1538164116, Heath, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** June 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1497009815) · Data from the CMS NPPES public registry.