Prava Karki, MD - Medicare Internal Medicine in Melrose, MA

Prava Karki, MD is a medicare enrolled "Internal Medicine" physician in Melrose, Massachusetts. Her current practice location is 585 Lebanon St, Melrose, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 979-3000.

Prava Karki is licensed to practice in Massachusetts (license number 1014943) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013531821.

Contact Information

Prava Karki, MD
585 Lebanon St,
Melrose, MA 02176-3225
(781) 979-3000
Not Available

Map and Direction




Physician's Profile

Full NamePrava Karki
GenderFemale
SpecialityInternal Medicine
Location585 Lebanon St, Melrose, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013531821
  • Provider Enumeration Date: 06/08/2020
  • Last Update Date: 09/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466816905
  • Enrollment ID: I20230915002439

Medical Identifiers

Medical identifiers for Prava Karki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013531821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 1014943 (Massachusetts)Primary

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. Prava Karki allows following entities to bill medicare on her behalf.
Entity NameMassachusetts Acute Care Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306134812
PECOS PAC ID: 9234303082
Enrollment ID: O20111114000448

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. Prava Karki 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
Prava Karki, MD
1901 First Avenue,
New York City, NY 10029

Ph: (212) 423-6771
Prava Karki, MD
585 Lebanon St,
Melrose, MA 02176-3225

Ph: (781) 979-3000

Reviews and Comments


Internal Medicine Doctors in Melrose, MA

Mike H Summerer, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 585 Lebanon Street, Hallmark Health System, Melrose, MA 02176
Phone: 781-979-3342    
Mohender S Maan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 585 Lebanon St, Melrose Wakefield Hospital, Melrose, MA 02176
Phone: 781-979-3000    
Dr. Erica L Brooks, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Rowe St, Suite 600, Melrose, MA 02176
Phone: 781-979-3440    Fax: 781-979-0258
Dr. Raj P. Shah, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 585 Lebanon St, Melrose, MA 02176
Phone: 860-305-6911    
Ronald P Sen, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Tremont St, #109, Melrose, MA 02176
Phone: 781-662-3310    Fax: 781-662-6403
Salil K Midha, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 50 Tremont St, Suite #104, Melrose, MA 02176
Phone: 781-662-6404    Fax: 781-665-0658

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.