Active NPI 1730170960 Individual Practitioner Male Practitioner

Dr. Rajeev Prakash , MD

Internal Medicine • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rajeev Prakash, MD is a certified Internal Medicine practicing in Austin, TX. With approximately 28 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1998, Dr. Prakash delivers high-quality medical care to the local community at 12221 N MOPAC EXPY.

Dr. Prakash maintains professional affiliations with The Austin Diagnostic Clinic Pllc, South Texas Hospitalist Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12221 N Mopac Expy

Austin, TX 787582401

Telephone 5129014009

Fax 5129013909

Associated Practice Facility / Clinic

🏢 Austin Pathology Associates Facility NPI 1669414330

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +7.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

620 Specialists

Practicing in Austin, TX (9538 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prakash (28 Years) 28 Yrs

Austin Specialty Average (20.8 Years) 20.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	111	103	$455.58	$167.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$305.14	$127.40
99291 Critical care, first 30-74 minutes	13	13	$444.54	$207.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	111	104	$435.39	$172.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$329.94	$129.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	164	150	$393.00	$196.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	44	$268.00	$131.46
99220 Hospital observation care, typically 70 minutes	13	13	$304.00	$178.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	138	126	$393.00	$199.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$268.00	$129.80
99220 Hospital observation care, typically 70 minutes	20	18	$304.00	$180.65
99219 Hospital observation care, typically 50 minutes	20	19	$218.00	$133.28
99291 Critical care, first 30-74 minutes	16	14	$441.00	$217.20
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	11	$25.00	$12.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	119	$393.00	$205.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	64	$268.00	$138.02
99219 Hospital observation care, typically 50 minutes	26	26	$218.00	$138.14
99291 Critical care, first 30-74 minutes	22	20	$441.00	$206.13
99220 Hospital observation care, typically 70 minutes	15	15	$304.00	$188.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	704	232	$141.00	$71.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	205	106	$202.00	$103.97
99239 Hospital discharge day management, more than 30 minutes	141	134	$205.00	$106.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	81	$393.00	$198.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	55	$268.00	$136.40
99220 Hospital observation care, typically 70 minutes	20	20	$304.00	$180.86
99217 Hospital observation care on day of discharge	19	18	$140.00	$73.82
99291 Critical care, first 30-74 minutes	18	16	$441.00	$223.43
99219 Hospital observation care, typically 50 minutes	14	14	$218.00	$136.85
99238 Hospital discharge day management, 30 minutes or less	11	11	$140.00	$73.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	766	258	$123.84	$71.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	333	156	$173.55	$101.60
99239 Hospital discharge day management, more than 30 minutes	180	169	$190.84	$106.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	111	105	$330.84	$198.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	47	$227.26	$133.78
99291 Critical care, first 30-74 minutes	28	24	$355.53	$216.73
99220 Hospital observation care, typically 70 minutes	21	21	$243.12	$185.13
99219 Hospital observation care, typically 50 minutes	17	17	$189.45	$135.40
99217 Hospital observation care on day of discharge	12	12	$128.99	$73.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	736	206	$73.06	$71.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	315	140	$105.33	$103.26
99239 Hospital discharge day management, more than 30 minutes	140	130	$109.64	$105.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	113	106	$204.72	$199.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$137.77	$134.46
99220 Hospital observation care, typically 70 minutes	45	45	$187.36	$184.36
99291 Critical care, first 30-74 minutes	25	24	$228.56	$216.67
99219 Hospital observation care, typically 50 minutes	19	18	$137.00	$134.81
99217 Hospital observation care on day of discharge	13	13	$73.64	$72.46
99238 Hospital discharge day management, 30 minutes or less	13	13	$73.37	$72.20

Medical Specialties & State Licenses

CMS Verified: 2022-02-09

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX M4916

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License LA 024377

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TX M4916

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

185764101 (TX)

Hospital & Practice Group Affiliations

South Texas Hospitalist Associates Llc

1025 Garner Field Rd, Uvalde, TX 788014809

Phone: 8302786251

The Austin Diagnostic Clinic Pllc

12221 N Mopac Expy, Austin, TX 787582401

Phone: 5129012530

South Texas Hospitalist Associates Llc

801 N Bedell Ave, Del Rio, TX 788404112

Phone: 8307444580

The Austin Diagnostic Clinic Pllc

12221 N Mopac Expy, Austin, TX 787582401

Phone: 5129012530

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Dr. Paula Starche , MD

Internal Medicine

NPI 1033176607

Doctor of Medicine (M.D.)

Dr. Anjali Nemawarkar , MD

Internal Medicine

NPI 1093779555

Doctor of Medicine (M.D.)

Dr. Yolanda Clay-Po , MD

Internal Medicine

NPI 1164405833

Doctor of Medicine (M.D.)

Dr. Paul Stansberry , MD

Internal Medicine

NPI 1235196809

Doctor of Medicine (M.D.)

Dr. Malik Merchant , MD

Internal Medicine

NPI 1245238534

Doctor of Medicine (M.D.)

Nancy Dasso , FNP

Nurse Practitioner - Family

NPI 1245287150

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location February 09, 2022

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

📍

Updated Business Mailing Address February 09, 2022

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2022

Internal Medicine (License #024377 in LA)

✅

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2017

Registered at 12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 787582483 (Tel: 5129014009)

📍

Updated Business Mailing Address April 03, 2017

Registered at 12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 787582483 (Tel: 5129014009)

👤

Provider Name / Credentials Updated April 03, 2017

Recorded as RAJEEV PRAKASH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Internal Medicine (License #024377 in LA)

✅

NPI Profile Active March 26, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2009

Registered at 12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 787582483 (Tel: 5129014009)

📍

Updated Business Mailing Address March 26, 2009

Registered at 12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 787582483 (Tel: 5129014009)

👤

Provider Name / Credentials Updated March 26, 2009

Recorded as RAJEEV PRAKASH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2009

Internal Medicine (License #M4916 in TX)

🟢

Initial NPI Registration & Enumeration November 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730170960

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 05, 2005

Last Update: February 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12221 N Mopac Expy

Austin, TX 787582401

Phone: 5129014009

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.