DR. RUPALI J PRABHUKHOT
NPI 1669630265
Internal Medicine in Dallas, TX

Active since May 30, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
12221 MERIT DR., STE 1500, DALLAS, TX 75251(214) 217-1991(214) 217-1912 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rupali J Prabhukhot NPPES

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

DR. RUPALI J PRABHUKHOT (NPI 1669630265) is an individual internal medicine provider in Dallas, Texas, licensed in North Carolina (2011-01055) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with North Texas Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1669630265
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RUPALI J PRABHUKHOT
Location Address12221 MERIT DR., STE 1500Dallas, TX 75251-2202
Mailing Address12221 Merit Dr., Ste 1500Dallas, TX 75251-2202 · (214) 217-1991 · Fax (214) 217-1912
Fax(214) 217-1912
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 30, 2008
Last NPPES UpdateJuly 31, 2015
NPI 1669630265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2011-01055
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12221 MERIT DR., Dallas, TX 75251

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

Dr. Rupali J Prabhukhot 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 ID5597931873
PECOS Enrollment IDI20150728003376
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.

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.
664 services321 patients
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.
385 services370 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
372 services184 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
311 services304 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.
70 services51 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
47 services41 patients

Hospital Affiliations CMS Care Compare 5

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

North Texas Medical Center

Acute Care Hospitals · Gainesville, TX
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450090
Location1900 Hospital BlvdGainesville, TX 76240 · Cooke County
Emergency services Birthing friendly

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

The Heart Hospital Baylor Denton

Acute Care Hospitals · Denton, TX
5/5 CMS rating
OwnershipPhysician
CMS Certification Number450893
Location2801 South Mayhill RoadDenton, TX 76208 · Denton County
Emergency services

Muenster Memorial Hospital

Critical Access Hospitals · Muenster, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451335
Location605 N Maple StreetMuenster, TX 76252 · Cooke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75251 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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…
49%330 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers43 claims45 services$14.77 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers16 claims16 services$36.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers44 claims46 services$64.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
12221 MERIT DR., SUITE 1500
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR., STE. 1500
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR., SUITE 1500
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR., SUITE 1500
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR., STE 1500
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR., STE 910
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR., STE 1500
DALLAS, TX 75251
Nurse Practitioner (Acute Care)
12221 MERIT DR., SUITE 1500
DALLAS, TX 75251

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 Rupali Prabhukhot's NPI number?

The NPI number for Rupali Prabhukhot is 1669630265. It was assigned to this individual provider in the NPPES registry on May 30, 2008.

Where is Rupali Prabhukhot located?

Rupali Prabhukhot practices at 12221 Merit Dr. Ste 1500, Dallas, TX 75251. The listed phone number is (214) 217-1991.

What is Rupali Prabhukhot's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rupali Prabhukhot enrolled in Medicare?

Yes. Rupali Prabhukhot 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 Rupali Prabhukhot accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Rupali Prabhukhot 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 Rupali Prabhukhot affiliated with any hospitals?

According to CMS data, Rupali Prabhukhot is affiliated with North Texas Medical Center, Medical City Denton, Texas Health Presbyterian Hospital Denton, The Heart Hospital Baylor Denton and Muenster Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rupali Prabhukhot was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.