PRAFULLA P MEHROTRA MD
NPI 1841309168
Internal Medicine - Cardiovascular Disease in Washington, DC
Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
About Prafulla P Mehrotra Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAFULLA P MEHROTRA MD (NPI 1841309168) is an individual cardiovascular disease provider in Washington, District Of Columbia, licensed in District Of Columbia (MD5672) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1964).
NPPES Registry Identity
NPI1841309168
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePRAFULLA P MEHROTRACredential: MD
Location Address2041 GEORGIA AVE NWWashington, DC 20060-0001
Mailing Address2024 Georgia Ave NwWashington, DC 20001-3027 · (202) 865-3415 · Fax (202) 865-6876
Phone(202) 865-6791
Fax(202) 865-4449
Sole ProprietorNo
Medical School CMSOtherGraduated 1964
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2007
✔ NPI 1841309168 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in DC · MD5672
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2041 GEORGIA AVE NW, Washington, DC 20060
Other Identifiers 2
Medicare UPINB93042
Medicare PIN012259H13
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
Prafulla P Mehrotra Md 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 ID6507937455
PECOS Enrollment IDI20080619000570
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.
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
338 services160 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
254 services140 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
130 services87 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 services37 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.
43 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20060 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
28%203 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
17%156 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
3%398 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
88%180 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
64%1,332 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%1,750 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
55%229 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
16%670 patients1/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
42%314 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%662 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
23%548 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
38%670 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%670 patients1/55-star benchmark: 89%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
84%394 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 314 patients
4%314 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%670 patients
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dentist (Oral and Maxillofacial Surgery)
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
WASHINGTON, DC 20060
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW, WASHINGTON, DC
WASHINGTON, DC 20060
WASHINGTON, DC 20060
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
WASHINGTON, DC 20060
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
WASHINGTON, DC 20060
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
WASHINGTON, DC 20060
Student in an Organized Health Care Education/Training Program
2041 GEORGIA AVE NW
WASHINGTON, DC 20060
WASHINGTON, DC 20060
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 Prafulla Mehrotra's NPI number?
The NPI number for Prafulla Mehrotra is 1841309168. It was assigned to this individual provider in the NPPES registry on August 30, 2006.
Where is Prafulla Mehrotra located?
Prafulla Mehrotra practices at 2041 Georgia Ave NW, Washington, DC 20060. The listed phone number is (202) 865-6791.
What is Prafulla Mehrotra's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Prafulla Mehrotra enrolled in Medicare?
Yes. Prafulla Mehrotra 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.
When was this NPI record last updated?
The NPPES record for Prafulla Mehrotra was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Prafulla P Mehrotra, MD · NPI 1841309168
Cardiovascular Disease physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1841309168 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD5672 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2041 GEORGIA AVE NW, Washington, DC 20060-0001
- **Phone:** (202) 865-6791 · **Fax:** (202) 865-4449
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1964
## Record status
- **NPPES last updated:** August 22, 2007
- **Other identifiers:** Medicare UPIN B93042; Medicare PIN 012259H13
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Source: [NPI Profile](https://npiprofile.com/npi/1841309168) · Data from the CMS NPPES public registry.