Prabhakar Rumalla, M.D.
NPI 1669404943 · Gastroenterology Physician · Ocala, FL
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prabhakar Rumalla, M.D. is a Gastroenterology Physician provider in Ocala, FL (NPI 1669404943).
Provider details
- NPI number
- 1669404943
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME31901 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
637 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 103 | $131 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 92 | $95 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 71 | $194 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 57 | $93 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 45 | $164 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 333 | 126 |
| Pantoprazole Sodium | 102 | 27 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 24 | 22 |
| Famotidine | 20 | 11 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 16 | 16 |
| Metronidazole | 11 | — |
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,039 across 29 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
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2022-07-06
- Certified
- 2022-07-06
Frequently asked questions
- What is Prabhakar Rumalla's NPI number?
- Prabhakar Rumalla's National Provider Identifier (NPI) is 1669404943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prabhakar Rumalla's specialty?
- Prabhakar Rumalla is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Prabhakar Rumalla located?
- Prabhakar Rumalla's practice location on file with NPPES is 1901 Se 18th Ave, Ocala, FL 34471-8215.
- What is Prabhakar Rumalla's phone number?
- The practice phone number listed in the NPPES registry for Prabhakar Rumalla is (352) 732-8905.
- Does Prabhakar Rumalla accept Medicare?
- Prabhakar Rumalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prabhakar Rumalla's NPI active?
- Yes — Prabhakar Rumalla's NPI (1669404943) is active in the NPPES registry as of the last update on 2022-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.