DR. PRATAP CHALLA M.D.
NPI 1982794137
Ophthalmology in Durham, NC

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
2351 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pratap Challa M.d. NPPES

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

DR. PRATAP CHALLA M.D. (NPI 1982794137) is an individual ophthalmology provider in Durham, North Carolina, licensed in North Carolina (98-00493) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Florida College Of Medicine (1993).

NPPES Registry Identity

NPI1982794137
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PRATAP CHALLACredential: M.D.
Location Address2351 ERWIN RDDurham, NC 27705-4699
Mailing AddressPo Box 63362Charlotte, NC 28263-3362 · (919) 684-8111
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1993
Enumeration DateOctober 16, 2006
Last NPPES UpdateJune 6, 2013
NPI 1982794137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 98-00493
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2351 ERWIN RD, Durham, NC 27705

Other Identifiers 3

Medicare UPING71265
Medicaid891147LNC
Medicare PIN2256339ANC

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. Pratap Challa 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 ID7416084769
PECOS Enrollment IDI20100419000787
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 14

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.

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.
1,507 services764 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
650 services583 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
563 services483 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
136 services128 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
87 services42 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
69 services54 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner
2351 ERWIN RD
DURHAM, NC 27705
Occupational Therapist (Low Vision)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology (Cornea and External Diseases Specialist)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705

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 Pratap Challa's NPI number?

The NPI number for Pratap Challa is 1982794137. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Pratap Challa located?

Pratap Challa practices at 2351 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Pratap Challa's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Pratap Challa enrolled in Medicare?

Yes. Pratap Challa 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 Pratap Challa accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Pratap Challa 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 Pratap Challa affiliated with any hospitals?

According to CMS data, Pratap Challa is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Pratap Challa was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.