RANA PRATHAP MERCY PATHROSE MD
NPI 1992188395
Psychiatry & Neurology - Psychiatry in Muncie, IN

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment
2401 W UNIVERSITY AVE STE 3500A, MUNCIE, IN 47303(765) 289-5420(765) 281-2150 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Sep 23, 2019, Jan 28, 2016 (3 updates tracked since 2016).

About Rana Prathap Mercy Pathrose Md NPPES

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

RANA PRATHAP MERCY PATHROSE MD (NPI 1992188395) is an individual psychiatry provider in Muncie, Indiana, licensed in Indiana (01082932A) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1992188395
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRANA PRATHAP MERCY PATHROSECredential: MD
Location Address2401 W UNIVERSITY AVE STE 3500AMuncie, IN 47303-3428
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(765) 281-2150
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 2, 2015
Last NPPES UpdateMarch 31, 20233 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
NPI 1992188395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in IN · 01082932A
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 2015019698 (MO)
2401 W UNIVERSITY AVE STE 3500A, Muncie, IN 47303

Secondary Practice Location 1

Location 11438 S Grand BlvdSaint Louis, MO 63104-1027 · Phone (314) 977-4850 · Fax (314) 977-4880

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

Rana Prathap Mercy Pathrose 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 ID2668776113
PECOS Enrollment IDI20191002002602
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 6

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
24 services14 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.
23 services11 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
22 services19 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.
18 services13 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services14 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.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 7

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

Social Worker (Clinical)
2401 W UNIVERSITY AVE STE 3500A
MUNCIE, IN 47303
Social Worker (Clinical)
2401 W UNIVERSITY AVE STE 3500A
MUNCIE, IN 47303
Nurse Practitioner (Adult Health)
2401 W UNIVERSITY AVE STE 3500A
MUNCIE, IN 47303
Psychiatry & Neurology (Psychiatry)
2401 W UNIVERSITY AVE STE 3500A
MUNCIE, IN 47303
Psychologist (Clinical)
2401 W UNIVERSITY AVE STE 3500A
MUNCIE, IN 47303
Nurse Practitioner (Psychiatric/Mental Health)
2401 W UNIVERSITY AVE STE 3500A
MUNCIE, IN 47303
Nurse Practitioner (Psychiatric/Mental Health)
2401 W UNIVERSITY AVE STE 3500A
MUNCIE, IN 47303

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 Rana Prathap Mercy Pathrose's NPI number?

The NPI number for Rana Prathap Mercy Pathrose is 1992188395. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Rana Prathap Mercy Pathrose located?

Rana Prathap Mercy Pathrose practices at 2401 W University Ave Ste 3500A, Muncie, IN 47303. The listed phone number is (765) 289-5420.

What is Rana Prathap Mercy Pathrose's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rana Prathap Mercy Pathrose enrolled in Medicare?

Yes. Rana Prathap Mercy Pathrose 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 Rana Prathap Mercy Pathrose accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Rana Prathap Mercy Pathrose 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 Rana Prathap Mercy Pathrose affiliated with any hospitals?

According to CMS data, Rana Prathap Mercy Pathrose is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rana Prathap Mercy Pathrose was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.