Prabhakar Mithal
NPI 1497172951 · Urology Physician · Fayetteville, GA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabhakar Mithal is a Urology Physician provider in Fayetteville, GA (NPI 1497172951).
Provider details
- NPI number
- 1497172951
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,599 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Automated Urinalysis Test81003 | 382 | $2 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 253 | $126 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 193 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 180 | $90 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 118 | $165 |
| Psa (prostate Specific Antigen) Measurement, Total |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 341 | 142 |
| Vibegronbrand: Gemtesa | 109 | 37 |
| Tramadol Hcl | 78 | 60 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 75 | 66 |
| Finasteride | 57 | 22 |
| Oxybutynin Chloridebrand: Oxybutynin Chloride Er | 54 | 28 |
| Amoxicillin/Potassium Clav |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,541 across 52 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 140 Charlois BlvdWinston Salem, NC 27103-1522Phone: (336) 716-4131Fax: (336) 713-0328
- 601 Elmwood Ave Box SurgRochester, NY 14642-0001Phone: (585) 275-2723
Registry dates
- Enumerated
- 2014-03-23
- Last updated
- 2021-06-15
- Certified
- 2021-04-29
Frequently asked questions
- What is Prabhakar Mithal's NPI number?
- Prabhakar Mithal's National Provider Identifier (NPI) is 1497172951, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabhakar Mithal's specialty?
- Prabhakar Mithal is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Prabhakar Mithal located?
- Prabhakar Mithal's practice location on file with NPPES is 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574.
- What is Prabhakar Mithal's phone number?
- The practice phone number listed in the NPPES registry for Prabhakar Mithal is (770) 460-9777.
- Does Prabhakar Mithal accept Medicare?
- Prabhakar Mithal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabhakar Mithal's NPI active?
- Yes — Prabhakar Mithal's NPI (1497172951) is active in the NPPES registry as of the last update on 2021-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.