DR. PRASHANTH REDDY RAWLA (M.D.) – Hospitalist Physician, NPI 1942596077
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,297 HOSPITALIST in TX
Provider Addresses for DR. PRASHANTH REDDY RAWLA (M.D.)
8117 Preston Rd
Suite 800
Dallas, TX 752256332
Phone: (214) 666-9528
Type: Location
106 Broad St
Loganville, GA 300527463
Phone: (470) 660-4132
Fax: (470) 275-0412
Type: Location
320 HOSPITAL DR
MARTINSVILLE, VA 241121900
Phone:
Type: Mailing
8117 PRESTON RD
SUITE 800
DALLAS, TX 752256332
Phone: (214) 666-9528
Type: Location
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
541 441 HISTORIC HWY N
DEMOREST, GA 305354528
Phone: (706) 839-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Exact Sciences Corporation ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210312000497 | I | Internal Medicine | NC | TBD |
| I20210708002958 | I | Hospitalist | FL | TBD |
| I20241023003627 | I | Hospitalist | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 185 | 90 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 150 | 80 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 130 | 124 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 48 | 47 | $0 |
Insurance plans in this area (ZIP 75225)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | GA |
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