Prashanth Reddy Rawla, M.D.
NPI 1942596077 · Hospitalist Physician · Demorest, GA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashanth Reddy Rawla, M.D. is a Hospitalist Physician provider in Demorest, GA (NPI 1942596077).
Provider details
- NPI number
- 1942596077
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD-14659 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
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
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
727 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 311 | $77 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 173 | $116 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 159 | $111 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 66 | $169 |
| Exercise Or Drug-Induced Heart Stress Test With Electrocardiogram (ecg) With Supervision By Physician93016 | 18 | $20 |
Typical Medicare-allowed amounts for these services range $20–$169 (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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 24 | 24 |
| Cephalexin | 20 | 20 |
| Nifedipinebrand: Nifedipine Er | 16 | 13 |
| Atorvastatin Calcium | 15 | 14 |
| Ciprofloxacin Hcl | 14 | 14 |
| Metoprolol Succinate | 13 | — |
| Apixabanbrand: Eliquis | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$18 across 1 record (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 (2)
- 106 Broad StLoganville, GA 30052-7463Phone: (470) 660-4132Fax: (470) 275-0412
- 8117 Preston RdSuite 800Dallas, TX 75225-6332Phone: (214) 666-9528
Registry dates
- Enumerated
- 2011-06-27
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Frequently asked questions
- What is Prashanth Reddy Rawla's NPI number?
- Prashanth Reddy Rawla's National Provider Identifier (NPI) is 1942596077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashanth Reddy Rawla's specialty?
- Prashanth Reddy Rawla is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Prashanth Reddy Rawla located?
- Prashanth Reddy Rawla's practice location on file with NPPES is 541 441 Historic Hwy N, Demorest, GA 30535-4528.
- What is Prashanth Reddy Rawla's phone number?
- The practice phone number listed in the NPPES registry for Prashanth Reddy Rawla is (706) 839-4000.
- Does Prashanth Reddy Rawla accept Medicare?
- Prashanth Reddy Rawla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashanth Reddy Rawla's NPI active?
- Yes — Prashanth Reddy Rawla's NPI (1942596077) is active in the NPPES registry as of the last update on 2025-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.