DR. PIA PRAKASH M.D.
NPI 1629395686
Internal Medicine - Gastroenterology in Columbia, MD

Q: What is Pia Prakash's NPI number?

The NPI number for Pia Prakash is 1629395686. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Q: What is Pia Prakash's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Pia Prakash was last updated on January 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment

78.51/100

CMS Quality Rating

7120 MINSTREL WAY STE 100, COLUMBIA, MD 21045(410) 290-6677(410) 290-6676 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Pia Prakash M.d. NPPES

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

DR. PIA PRAKASH M.D. (NPI 1629395686) is an individual gastroenterology provider in Columbia, Maryland, licensed in Maryland (D0081625) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2010).

NPPES Registry Identity

NPI1629395686

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. PIA PRAKASHCredential: M.D.

Location Address7120 MINSTREL WAY STE 100Columbia, MD 21045-5274

Mailing Address7120 Minstrel Way, Ste 100Columbia, MD 21045-5274 · (410) 290-6677 · Fax (410) 290-6676

Phone(410) 290-6677

Fax(410) 290-6676

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2010

Enumeration DateApril 29, 2010

Last NPPES UpdateJanuary 30, 2018

✔ NPI 1629395686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MD · D0081625

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

7120 MINSTREL WAY STE 100, Columbia, MD 21045

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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

Dr. Pia Prakash 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 ID648568246

PECOS Enrollment IDI20161014000748, I20230407000422

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 8

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, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

161 services55 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

146 services94 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

31 services29 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

31 services31 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21045 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

78.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.75

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 13

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

DR. EDUARDO CASTILLO DEL CASTILLO M.D.

Internal Medicine (Gastroenterology)