DR. PRAFUL V MAROO M.D.
NPI 1881645877
Internal Medicine - Cardiovascular Disease in Cleveland, OH

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.09/100
CMS Quality Rating
18099 LORAIN AVE, CLEVELAND, OH 44111(216) 252-2770 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Praful V Maroo M.d. NPPES

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

DR. PRAFUL V MAROO M.D. (NPI 1881645877) is an individual cardiovascular disease provider in Cleveland, Ohio, licensed in Ohio (35.035604) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1881645877
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PRAFUL V MAROOCredential: M.D.
Location Address18099 LORAIN AVECleveland, OH 44111-5610
Mailing Address18099 Lorain AveCleveland, OH 44111-5610 · (216) 252-2770
Sole ProprietorYes
Medical School CMSOtherGraduated 1968
Enumeration DateMay 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1881645877 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 OH · 35.035604
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.
18099 LORAIN AVE, Cleveland, OH 44111

Other Identifiers 2

Medicare UPINB77391OH
Medicare ID-Type UnspecifiedMA0388863OH

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. Praful V Maroo 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 ID3971514324
PECOS Enrollment IDI20060622000127
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 15

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.
1,196 services672 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.
936 services574 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.
250 services192 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.
112 services99 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.
107 services74 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
104 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44111 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

97.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.98
Promoting Interoperability99
Improvement Activities40
Cost92.16

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.

Internal Medicine (Rheumatology)
18099 LORAIN AVE, SUITE 208
CLEVELAND, OH 44111
Internal Medicine (Cardiovascular Disease)
18099 LORAIN AVE
CLEVELAND, OH 44111
General Practice
18099 LORAIN AVE, STE 525
CLEVELAND, OH 44111
Urology
18099 LORAIN AVE, SUITE 141
CLEVELAND, OH 44111
Obstetrics & Gynecology (Maternal & Fetal Medicine)
18099 LORAIN AVE, SUITE 345
CLEVELAND, OH 44111
Urology
18099 LORAIN AVE, SUITE 141
CLEVELAND, OH 44111
Internal Medicine
18099 LORAIN AVE, SUITE 420
CLEVELAND, OH 44111
Urology
18099 LORAIN AVE, SUITE 141
CLEVELAND, OH 44111

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 Praful Maroo's NPI number?

The NPI number for Praful Maroo is 1881645877. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Praful Maroo located?

Praful Maroo practices at 18099 Lorain Ave, Cleveland, OH 44111. The listed phone number is (216) 252-2770.

What is Praful Maroo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Praful Maroo enrolled in Medicare?

Yes. Praful Maroo 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 Praful Maroo accept?

Health plans from CareSource and Oscar Insurance Corporation of Ohio list Praful Maroo 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 Praful Maroo affiliated with any hospitals?

According to CMS data, Praful Maroo is affiliated with Fairview Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Praful Maroo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.