Prachi Baliram Raut, M.B.B.S.
NPI 1104113653ActiveIndividual· Pathology, Clinical Pathology/Laboratory Medicine· Madison, WI
Pathology, Clinical Pathology/Laboratory Medicine (M.B.B.S.) in Madison, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2023). Medicare paid $60,356 for services to 970 patients in 2024.
Overview
| NPI | 1104113653 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.B.B.S. |
| Sole proprietor | Yes |
| NPI issued | Jul 6, 2011 |
| Last updated in NPPES | Sep 27, 2023 |
| Certified by provider | Sep 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Clinical Pathology/Laboratory Medicine Primary | 207ZP0105X | 75363 | WI |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 58661 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (IL); Practitioner - Pathology (MO); Practitioner - Pathology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 970 |
|---|---|
| Services billed | 2,298 across 22 procedure codes |
| Paid by Medicare | $60,356 |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Pathology |
Medical group
- Citizens Memorial Hospital DistrictBolivar, MO · 54 clinicians
Hospital affiliations
- Citizens Memorial HospitalBolivar, MO
- Cox Medical CentersSpringfield, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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