Prachi Madan
NPI 1619357308 · Medical Physician Assistant · Alexandria, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prachi Madan is a Medical Physician Assistant provider in Alexandria, VA (NPI 1619357308).
Provider details
- NPI number
- 1619357308
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0110004949 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 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
216 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 | 69 | $119 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 62 | $103 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 45 | $154 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 28 | $83 |
| Automated Urinalysis Test81003 | 12 | $2 |
Typical Medicare-allowed amounts for these services range $2–$154 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 35 | 35 |
| Prednisone | 20 | 20 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 19 | 19 |
| Molnupiravirbrand: Lagevrio (eua) | 16 | 16 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 14 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-08
- Last updated
- 2015-06-08
Frequently asked questions
- What is Prachi Madan's NPI number?
- Prachi Madan's National Provider Identifier (NPI) is 1619357308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prachi Madan's specialty?
- Prachi Madan is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prachi Madan located?
- Prachi Madan's practice location on file with NPPES is 4660 Kenmore Ave, Alexandria, VA 22304-1313.
- What is Prachi Madan's phone number?
- The practice phone number listed in the NPPES registry for Prachi Madan is (703) 823-0333.
- Does Prachi Madan accept Medicare?
- Prachi Madan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prachi Madan's NPI active?
- Yes — Prachi Madan's NPI (1619357308) is active in the NPPES registry as of the last update on 2015-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.