Prachi Baliram Raut, M.B.B.S.
NPI 1104113653 · Clinical Pathology/Laboratory Medicine Physician · Madison, WI
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prachi Baliram Raut, M.B.B.S. is a Clinical Pathology/Laboratory Medicine Physician provider in Madison, WI (NPI 1104113653).
Provider details
- NPI number
- 1104113653
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.B.B.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 58661 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,249 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 1,463 | $35 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 238 | $26 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 195 | $32 |
| Pathology Examination of Tissue Using a Microscope, Moderately High Complexity88307 | 71 | $76 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 47 | $10 |
| Pathology Cytologic Examination of Specimen During Surgery, Each Additional Site88334 | 43 | $34 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-06
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Frequently asked questions
- What is Prachi Baliram Raut's NPI number?
- Prachi Baliram Raut's National Provider Identifier (NPI) is 1104113653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prachi Baliram Raut's specialty?
- Prachi Baliram Raut is listed in the NPPES registry with a primary specialty of Clinical Pathology/Laboratory Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prachi Baliram Raut located?
- Prachi Baliram Raut's practice location on file with NPPES is 303 Eagle Hts, Madison, WI 53705-1767.
- What is Prachi Baliram Raut's phone number?
- The practice phone number listed in the NPPES registry for Prachi Baliram Raut is (514) 920-7406.
- Does Prachi Baliram Raut accept Medicare?
- Prachi Baliram Raut is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prachi Baliram Raut's NPI active?
- Yes — Prachi Baliram Raut's NPI (1104113653) is active in the NPPES registry as of the last update on 2023-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.