Prajay Rathore, M.D
NPI 1417410887 · Internal Medicine Physician · Danbury, CT
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prajay Rathore, M.D is a Internal Medicine Physician provider in Danbury, CT (NPI 1417410887).
Provider details
- NPI number
- 1417410887
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 291275 (MA)
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
7 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
31 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $121 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 11 | $130 |
Typical Medicare-allowed amounts for these services range $121–$130 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 84 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 337 | 162 |
| Lisinopril | 218 | 102 |
| Amlodipine Besylate | 182 | 77 |
| Metformin Hcl | 148 | 69 |
| Metoprolol Succinate | 108 | 53 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 103 | 30 |
Practice location
Mailing address
Additional practice locations (1)
- 370 Lunenburg StFitchburg, MA 01420-4541Phone: (978) 342-6018
Registry dates
- Enumerated
- 2019-04-11
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Prajay Rathore's NPI number?
- Prajay Rathore's National Provider Identifier (NPI) is 1417410887, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prajay Rathore's specialty?
- Prajay Rathore is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prajay Rathore located?
- Prajay Rathore's practice location on file with NPPES is 70 Main St, Danbury, CT 06810-7832.
- What is Prajay Rathore's phone number?
- The practice phone number listed in the NPPES registry for Prajay Rathore is (203) 743-0100.
- Does Prajay Rathore accept Medicare?
- Prajay Rathore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prajay Rathore's NPI active?
- Yes — Prajay Rathore's NPI (1417410887) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.