Doctor profile · Federal record
Dr. Prafull Raheja, M.D.
Interventional Cardiology Physician (CMS: Interventional Cardiology) · Cardiovascular Disease Physician · Louisville, KY
- NPI 1679732051
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
201 Abraham Flexner Way, Suite 1101
Louisville, KY 402023841
(502) 581-1951
fax (502) 540-5137 - Mailing address
-
100 E Liberty St, Suite 800 - Business Office
Louisville, KY 402021434
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- November 14, 2016
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207RI0011X — NUCC code
- State license (1)
- Kentucky #44271
- Medicaid (2)
- KY #7100425760 (KOHMG) · IN #201363930A (KOHMG)
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679732051. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,867
Distinct HCPCS
10
Medicare allowed
$201,730
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,081 | 742 | $8 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 446 | 239 | $74 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 416 | 269 | $118 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 128 | 111 | $12 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 118 | 108 | $123 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 95 | 95 | $65 | |
93458 |
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 80 | 78 | $221 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 63 | 61 | $13 | |
78452 |
Nuclear medicine studies of heart muscle at rest and with stress and spect | 53 | 53 | $71 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 53 | 53 | $152 |
In context: peer comparison
Among 24 peers in Louisville Interventional Cardiology Physician, average services per provider: 142. This provider delivers 20× the peer median.Open Payments
Industry payments received
All-time total
$1,902
Transactions
82
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 14 | $415.70 | |
| Novartis Pharmaceuticals Corporation | 18 | $271.00 | |
| Pfizer INC. | 11 | $221.40 | |
| Janssen Pharmaceuticals, INC | 6 | $184.47 | |
| Medtronic, INC. | 8 | $183.46 | |
| Amgen INC. | 4 | $77.49 | |
| Boston Scientific Corporation | 2 | $68.36 | |
| Edwards Lifesciences Corporation | 2 | $66.08 | |
| Lexicon Pharmaceuticals, INC. | 3 | $64.33 | |
| Chiesi USA, INC. | 2 | $54.44 | |
| E.R. Squibb & Sons, L.L.C. | 3 | $51.40 | |
| Merck Sharp & Dohme LLC | 3 | $49.17 | |
| AstraZeneca Pharmaceuticals Lp | 3 | $41.87 | |
| Kestra Medical Technology Services, INC. | 1 | $39.34 | |
| Scpharmaceuticals INC. | 2 | $35.07 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,738
Patients
1,216
Total drug cost
$410,116
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Metoprolol Succinate | Generic | 632 | 228 | $14,192 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 514 | 157 | $7,296 |
| Atorvastatin Calcium | Generic | 437 | 142 | $5,762 |
| Furosemide | Generic | 289 | 93 | $1,896 |
| Carvedilol | Generic | 265 | 90 | $2,840 |
| Pravastatin Sodium | Generic | 238 | 77 | $3,489 |
| Lisinopril | Generic | 220 | 65 | $1,325 |
| Losartan Potassium | Generic | 214 | 66 | $2,731 |
| Eliquis (Apixaban) | Brand | 204 | 56 | $250,554 |
| Amlodipine Besylate | Generic | 187 | 64 | $1,805 |
Hospital affiliations
Frequently asked questions
What is Dr. Prafull Raheja's medical specialty?
Dr. Prafull Raheja practices Interventional Cardiology Physician in Louisville, KY.
Where does Dr. Prafull Raheja practice?
Dr. Prafull Raheja practices at 201 Abraham Flexner Way, Louisville, KY 402023841. Office phone: 5025811951.
What is Dr. Prafull Raheja's NPI?
Dr. Prafull Raheja's National Provider Identifier (NPI) is 1679732051, issued by NPPES.
Does Dr. Prafull Raheja accept Medicare assignment?
Yes. Dr. Prafull Raheja accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Prafull Raheja commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.