Prachi Thanawala, M.D.
NPI 1922368125 · Cardiovascular Disease Physician · Pennington, NJ
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prachi Thanawala, M.D. is a Cardiovascular Disease Physician provider in Pennington, NJ (NPI 1922368125).
Provider details
- NPI number
- 1922368125
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 294406 (NY)
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
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,629 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 | 464 | $9 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 220 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 206 | $141 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 175 | $74 |
| 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 | 170 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 547 | 161 |
| Amlodipine Besylate | 385 | 116 |
| Metoprolol Succinate | 381 | 107 |
| Carvedilol | 347 | 103 |
| Apixabanbrand: Eliquis | 244 | 61 |
| Rosuvastatin Calcium | 229 | 76 |
| Ezetimibe | 182 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$163 across 9 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 (1)
- 3 Penns Trl Fl 2Newtown, PA 18940-1812Phone: (609) 303-4838Fax: (609) 303-4835
Registry dates
- Enumerated
- 2012-05-22
- Last updated
- 2021-04-30
- Certified
- 2021-04-30
Frequently asked questions
- What is Prachi Thanawala's NPI number?
- Prachi Thanawala's National Provider Identifier (NPI) is 1922368125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prachi Thanawala's specialty?
- Prachi Thanawala is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Prachi Thanawala located?
- Prachi Thanawala's practice location on file with NPPES is 2 Capital Way Ste 385, Pennington, NJ 08534-2521.
- What is Prachi Thanawala's phone number?
- The practice phone number listed in the NPPES registry for Prachi Thanawala is (609) 303-4838.
- Does Prachi Thanawala accept Medicare?
- Prachi Thanawala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prachi Thanawala's NPI active?
- Yes — Prachi Thanawala's NPI (1922368125) is active in the NPPES registry as of the last update on 2021-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.