Prafull Raheja, MD - Medicare Interventional Cardiology in Louisville, KY

Prafull Raheja, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Louisville, Kentucky. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice University Of Louisville Physicians Inc and his current practice location is 201 Abraham Flexner Way, Suite 1101, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 581-1951.

Prafull Raheja is licensed to practice in Kentucky (license number 44271) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679732051.

Contact Information

Prafull Raheja, MD
201 Abraham Flexner Way, Suite 1101,
Louisville, KY 40202-3841
(502) 581-1951
(502) 540-5137

Map and Direction




Physician's Profile

Full NamePrafull Raheja
GenderMale
SpecialityInterventional Cardiology
Experience19 Years
Location201 Abraham Flexner Way, Louisville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Prafull Raheja graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1679732051
  • Provider Enumeration Date: 06/02/2008
  • Last Update Date: 11/14/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7618283490
  • Enrollment ID: I20160520001502

Medical Identifiers

Medical identifiers for Prafull Raheja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679732051NPI-NPPES
7100425760 (KOHMG)MedicaidKY
201363930A (KOHMG)MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology 44271 (Kentucky)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 44271 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital
Frankfort Regional Medical CenterFrankfort, KYHospital
Taylor Regional HospitalCampbellsville, KYHospital
Jewish Hospital - ShelbyvilleShelbyville, KYHospital
University Of Louisville HospitalLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Louisville Physicians Inc34767255991111

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Prafull Raheja allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Louisville Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prafull Raheja is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prafull Raheja, MD
100 E Liberty St, Suite 800 - Business Office,
Louisville, KY 40202-1434

Ph: (502) 581-1951
Prafull Raheja, MD
201 Abraham Flexner Way, Suite 1101,
Louisville, KY 40202-3841

Ph: (502) 581-1951

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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