PRAKASH KARKI M.D.
NPI 1558351791
General Practice in Terre Haute, IN

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
4757 S 7TH ST, TERRE HAUTE, IN 47802(812) 234-2289(812) 232-4234 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Prakash Karki M.d. NPPES

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

PRAKASH KARKI M.D. (NPI 1558351791) is an individual general practice provider in Terre Haute, Indiana, licensed in Indiana (01056872A) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1558351791
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NamePRAKASH KARKICredential: M.D.
Location Address4757 S 7TH STTerre Haute, IN 47802-4559
Mailing Address4757 S 7th StTerre Haute, IN 47802-4559 · (812) 234-2289 · Fax (812) 232-4234
Fax(812) 232-4234
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1558351791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IN · 01056872A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4757 S 7TH ST, Terre Haute, IN 47802

Other Identifiers 5

Medicare ID-Type Unspecified176980FIN · Individual #
Medicare ID-Type Unspecified176980IN · Group #
Medicare UPINH93040
Medicare ID-Type Unspecified136610IN · Group #
Medicare ID-Type Unspecified136610FIN · Individual #

Accepted 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

Prakash Karki 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 ID840388989
PECOS Enrollment IDI20240501000118
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.

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.
20 services18 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

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

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

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…
99%286 patients4/55-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.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Family)
4757 S 7TH ST
TERRE HAUTE, IN 47802
Counselor (Mental Health)
4757 S 7TH ST
TERRE HAUTE, IN 47802
General Practice
4757 S 7TH ST
TERRE HAUTE, IN 47802
General Practice
4757 S 7TH ST
TERRE HAUTE, IN 47802
Nurse Practitioner (Family)
4757 S 7TH ST
TERRE HAUTE, IN 47802
General Practice
4757 S 7TH ST
TERRE HAUTE, IN 47802
Social Worker
4757 S 7TH ST
TERRE HAUTE, IN 47802
Family Medicine
4757 S 7TH ST
TERRE HAUTE, IN 47802

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 Prakash Karki's NPI number?

The NPI number for Prakash Karki is 1558351791. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Prakash Karki located?

Prakash Karki practices at 4757 S 7th St, Terre Haute, IN 47802. The listed phone number is (812) 234-2289.

What is Prakash Karki's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Prakash Karki enrolled in Medicare?

Yes. Prakash Karki 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 Prakash Karki accept?

Health plans from CareSource list Prakash Karki 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 Prakash Karki affiliated with any hospitals?

According to CMS data, Prakash Karki is affiliated with Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Prakash Karki was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.