Prachi Pophali, MD
NPI 1689110611 · Internal Medicine Physician · Waukesha, WI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prachi Pophali, MD is a Internal Medicine Physician provider in Waukesha, WI (NPI 1689110611).
Provider details
- NPI number
- 1689110611
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2019032520 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
541 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 282 | $69 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 103 | $101 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 61 | $153 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 36 | $43 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 30 | $104 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Furosemide | 15 | 12 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 13 | 13 |
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 no Part D record, 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
Additional practice locations (4)
- 3100 Oak Grove RdPoplar Bluff, MO 63901-1573Phone: (573) 785-7721
- 240 Easton Ave4th Floor Cares, Rm 4014New Brunswick, NJ 08901-1723Phone: (913) 548-3576
- 240 Maple AveMukwonago, WI 53149-8475Phone: (262) 521-7761
- 791 Summit AveOconomowoc, WI 53066-3896Phone: (262) 569-0259
Registry dates
- Enumerated
- 2017-01-14
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Prachi Pophali's NPI number?
- Prachi Pophali's National Provider Identifier (NPI) is 1689110611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prachi Pophali's specialty?
- Prachi Pophali is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prachi Pophali located?
- Prachi Pophali's practice location on file with NPPES is 725 American Ave, Waukesha, WI 53188-5099.
- What is Prachi Pophali's phone number?
- The practice phone number listed in the NPPES registry for Prachi Pophali is (262) 928-5400.
- Does Prachi Pophali accept Medicare?
- Prachi Pophali is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prachi Pophali's NPI active?
- Yes — Prachi Pophali's NPI (1689110611) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.