PRAFUL TEWARI M.D.
NPI 1740695394
Internal Medicine - Critical Care Medicine in Tacoma, WA

Q: What is Praful Tewari's NPI number?

The NPI number for Praful Tewari is 1740695394. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Q: What is Praful Tewari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Praful Tewari was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment

2420 S STATE ST, TACOMA, WA 98405(253) 426-4000(253) 428-8440 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Praful Tewari M.d. NPPES

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

PRAFUL TEWARI M.D. (NPI 1740695394) is an individual critical care medicine provider in Tacoma, Washington, licensed in Washington (MD61142571) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740695394

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NamePRAFUL TEWARICredential: M.D.

Location Address2420 S STATE STTacoma, WA 98405-2845

Mailing Address2420 S State StTacoma, WA 98405-2845 · (253) 426-4000 · Fax (253) 428-8440

Phone(253) 426-4000

Fax(253) 428-8440

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 23, 2014

Last NPPES UpdateFebruary 19, 2024

NPPES CertifiedFebruary 19, 2024

✔ NPI 1740695394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in WA · MD61142571

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD61142571 (WA)

2420 S STATE ST, Tacoma, WA 98405

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Other Identifiers 1

Medicaid2194673WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Praful Tewari 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 ID9032408976

PECOS Enrollment IDI20211025002863

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.

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.

83 services40 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.

25 services24 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

24 services24 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.

22 services16 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.

21 services16 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500021

Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County

Emergency services

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500141

Location34515 9th Avenue SFederal Way, WA 98003 · King County

Emergency services Birthing friendly

St Anthony Hospital

Acute Care Hospitals · Gig Harbor, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500151

Location11567 Canterwood Boulevard NWGig Harbor, WA 98332 · Pierce County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$783.27 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers23 claims23 services$33.06 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers13 claims13 services$26.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

PAWAN CHAWLA MD

Internal Medicine (Critical Care Medicine)