Prajakta Mohan Phatak, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35138578 Issued in OH

Practice address

234 Goodman St
Cincinnati, OH 45219-2364

Phone

(513) 475-8521

Fax

(513) 475-7480

NPI assigned

Nov 7, 2012

Last updated

Jun 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
• The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893
• Baylor Scott and White the Heart Hospital Corinth Hospital, Denton, TX, CCN 670347
• Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890

Merit-based Incentive Payment System (MIPS)

Final score

82 of 100Reported as group

Quality

65.97

Promoting interoperability

100

Improvement activities

40

Cost

74.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pphatak1339207@direct.sw.org
• Direct secure messaging: pphatak326487@direct.uchealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Texas Heart Hospital of the Southwest, LLC

  dba Baylor Scott & White the Heart Hospital - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340

  General Partnership Interest

  CMS ownership
• Thhbp Management Company LLC

  dba Baylor Scott & White the Heart Hospital - Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1194753590

  General Partnership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthtexas Provider Network

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1760488936

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434

  Cardiovascular Disease

  Medicare reassignment NPD
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD
• Healthtexas Provider Network

  dba Symmetry Anesthesia

  • Anesthesiology Physician
  • Lakeway, TX
  • NPI 1104714583
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Plano

  dba Baylor Scott & White Medical Center - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Lake Pointe Operating Company, LLC

  dba Baylor Scott & White Medical Center Lake Pointe

  • General Acute Care Hospital
  • Rowlett, TX
  • NPI 1205018439
  Care Compare affiliation
• Texas Heart Hospital of the Southwest, LLC

  dba Baylor Scott & White the Heart Hospital - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1962504340
  Care Compare affiliation
• Thhbp Management Company LLC

  dba Baylor Scott & White the Heart Hospital - Denton

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1194753590
  Care Compare affiliation
• Thhbp Management Company LLC

  dba Baylor Scott & White The Heart Hospital - Corinth

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1669213831
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1497009815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785",
            "telephone_number": "513-245-3072",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-475-8521",
            "fax_number": "513-475-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHATAK",
        "first_name": "PRAJAKTA",
        "middle_name": "MOHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35138578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Over the Rhine
• Pharmacy Solutions Inc.
• Samantha Claire Pharo, CNP
• Lori Pharris
• Phase 1 Home Care Services
• Kieran J Phelan, M.D.
• Cassandra Denise Phelia
• Joy Phelia, APRN
• Meliqa Phelia
• Alice M Phelps

• Cardiovascular Disease Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.