Prafull Raheja, M.D.
NPI 1679732051 · Interventional Cardiology Physician · Louisville, KY
Enrolled with Medicare as Practitioner - Interventional Cardiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prafull Raheja, M.D. is a Interventional Cardiology Physician provider in Louisville, KY (NPI 1679732051).
Provider details
- NPI number
- 1679732051
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 44271 (KY)
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 tenure25% of score
18 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
3,068 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) |
|---|---|---|
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 1,324 | $8 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 507 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 394 | $118 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 123 | $121 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure (5 Years Or Older), Initial 15 Minutes99152 | 98 | $11 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 43 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 819 | 253 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 602 | 191 |
| Atorvastatin Calcium | 468 | 150 |
| Carvedilol | 338 | 99 |
| Furosemide | 338 | 116 |
| Losartan Potassium | 256 | 89 |
| Apixabanbrand: Eliquis |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,902 across 86 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
- 2008-06-02
- Last updated
- 2016-11-14
Frequently asked questions
- What is Prafull Raheja's NPI number?
- Prafull Raheja's National Provider Identifier (NPI) is 1679732051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prafull Raheja's specialty?
- Prafull Raheja is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Prafull Raheja located?
- Prafull Raheja's practice location on file with NPPES is 201 Abraham Flexner Way, Louisville, KY 40202-3841.
- What is Prafull Raheja's phone number?
- The practice phone number listed in the NPPES registry for Prafull Raheja is (502) 581-1951.
- Does Prafull Raheja accept Medicare?
- Prafull Raheja is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prafull Raheja's NPI active?
- Yes — Prafull Raheja's NPI (1679732051) is active in the NPPES registry as of the last update on 2016-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.