Prathima Gopinath, MD
NPI 1972156032 · Critical Care Medicine (Internal Medicine) Physician · Fayetteville, NC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prathima Gopinath, MD is a Critical Care Medicine (Internal Medicine) Physician provider in Fayetteville, NC (NPI 1972156032).
Provider details
- NPI number
- 1972156032
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 02527 (NC)
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
6 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
60 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) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 60 | $199 |
Typical Medicare-allowed amounts for these services range $199–$199 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-07-18
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Frequently asked questions
- What is Prathima Gopinath's NPI number?
- Prathima Gopinath's National Provider Identifier (NPI) is 1972156032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prathima Gopinath's specialty?
- Prathima Gopinath is listed in the NPPES registry with a primary specialty of Critical Care Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Prathima Gopinath located?
- Prathima Gopinath's practice location on file with NPPES is 1638 Owen Dr, Fayetteville, NC 28304-3424.
- What is Prathima Gopinath's phone number?
- The practice phone number listed in the NPPES registry for Prathima Gopinath is (910) 615-4000.
- Does Prathima Gopinath accept Medicare?
- Prathima Gopinath is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prathima Gopinath's NPI active?
- Yes — Prathima Gopinath's NPI (1972156032) is active in the NPPES registry as of the last update on 2025-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.