PRASANNA RAMAN MD
NPI 1609836709
Pediatrics in Stoughton, WI

Active since March 24, 2006PECOS Enrolled
1001 NYGAARD ST, STOUGHTON, WI 53589(608) 877-2660(608) 877-2667 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Prasanna Raman Md NPPES

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

PRASANNA RAMAN MD (NPI 1609836709) is an individual pediatrics provider in Stoughton, Wisconsin, licensed in Wisconsin (43662) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609836709
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRASANNA RAMANCredential: MD
Location Address1001 NYGAARD STStoughton, WI 53589-5495
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 877-2667
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1609836709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 43662
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1001 NYGAARD ST, Stoughton, WI 53589

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prasanna Raman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Prasanna Raman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1001 NYGAARD ST
STOUGHTON, WI 53589
Internal Medicine
1001 NYGAARD ST
STOUGHTON, WI 53589
Nurse Practitioner
1001 NYGAARD ST
STOUGHTON, WI 53589
Pediatrics
1001 NYGAARD ST
STOUGHTON, WI 53589
Pediatrics
1001 NYGAARD ST
STOUGHTON, WI 53589
Internal Medicine
1001 NYGAARD ST
STOUGHTON, WI 53589
Pediatrics
1001 NYGAARD ST
STOUGHTON, WI 53589
Nurse Practitioner (Pediatrics)
1001 NYGAARD ST
STOUGHTON, WI 53589

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 Prasanna Raman's NPI number?

The NPI number for Prasanna Raman is 1609836709. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Prasanna Raman located?

Prasanna Raman practices at 1001 Nygaard St, Stoughton, WI 53589. The listed phone number is (608) 877-2660.

What is Prasanna Raman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Prasanna Raman enrolled in Medicare?

Yes. Prasanna Raman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prasanna Raman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasanna Raman reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). 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 Prasanna Raman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prasanna Raman accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners, Quartz and Security Health Plan list Prasanna Raman 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.

When was this NPI record last updated?

The NPPES record for Prasanna Raman was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.