Prakash Kandel, M.D
NPI 1255619052 · Internal Medicine Physician · Wallingford, CT
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prakash Kandel, M.D is a Internal Medicine Physician provider in Wallingford, CT (NPI 1255619052).
Provider details
- NPI number
- 1255619052
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD15028 (RI)
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
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
264 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 109 | $80 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 86 | $120 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 29 | $117 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 25 | $176 |
| Critical Care, First 30-74 Minutes99291 | 15 | $215 |
Typical Medicare-allowed amounts for these services range $80–$215 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 164 Summit Avenue Fain BuildingProvidence, RI 02906-1420Phone: (401) 793-4489Fax: (401) 793-4047
Registry dates
- Enumerated
- 2011-07-27
- Last updated
- 2025-03-13
- Certified
- 2025-03-13
Frequently asked questions
- What is Prakash Kandel's NPI number?
- Prakash Kandel's National Provider Identifier (NPI) is 1255619052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prakash Kandel's specialty?
- Prakash Kandel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prakash Kandel located?
- Prakash Kandel's practice location on file with NPPES is 50 Gaylord Farm Rd, Wallingford, CT 06492-2828.
- What is Prakash Kandel's phone number?
- The practice phone number listed in the NPPES registry for Prakash Kandel is (203) 284-2800.
- Does Prakash Kandel accept Medicare?
- Prakash Kandel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prakash Kandel's NPI active?
- Yes — Prakash Kandel's NPI (1255619052) is active in the NPPES registry as of the last update on 2025-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.