DR. PRAJIT ARORA M.D
NPI 1841503844
Internal Medicine - Nephrology in Albuquerque, NM

Active since July 19, 2010PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
1100 CENTRAL AVE SE FL 4, ALBUQUERQUE, NM 87106(505) 724-6124(505) 724-6125 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prajit Arora M.d NPPES

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

DR. PRAJIT ARORA M.D (NPI 1841503844) is an individual nephrology provider in Albuquerque, New Mexico, licensed in Ohio (35.135850) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1841503844
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PRAJIT ARORACredential: M.D
Location Address1100 CENTRAL AVE SE FL 4Albuquerque, NM 87106-4930
Mailing Address3170 Kettering Blvd, Building B 3rd FloorMoraine, OH 45439-1924 · (937) 991-3188 · Fax (937) 223-9811
Fax(505) 724-6125
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 19, 2010
Last NPPES UpdateMay 3, 2019
NPI 1841503844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OH · 35.135850
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD2014-0739 (NM)
1100 CENTRAL AVE SE FL 4, Albuquerque, NM 87106

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. Prajit Arora 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 ID2365768264
PECOS Enrollment IDI20190517000456
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 3

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.
138 services56 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.
100 services49 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.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Referred Medical Equipment & Supplies CMS DME claims 4

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
2 suppliers20 claims20 services$11.68 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers18 claims18 services$881.22 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.49 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
2 suppliers28 claims28 services$57.50 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 6

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

Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Internal Medicine (Critical Care Medicine)
1100 CENTRAL AVE SE FL 4, PMG INTENSIVISTS
ALBUQUERQUE, NM 87106

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 Prajit Arora's NPI number?

The NPI number for Prajit Arora is 1841503844. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Prajit Arora located?

Prajit Arora practices at 1100 Central Ave SE Fl 4, Albuquerque, NM 87106. The listed phone number is (505) 724-6124.

What is Prajit Arora's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Prajit Arora enrolled in Medicare?

Yes. Prajit Arora 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 Prajit Arora accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Prajit Arora 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 Prajit Arora affiliated with any hospitals?

According to CMS data, Prajit Arora is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Prajit Arora was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.