Prajay Rathore, M.D
NPI 1417410887ActiveIndividual· Internal Medicine· Danbury, CT
Internal Medicine (M.D) with Optimus Health Care Inc and 1 other group, practicing in Danbury, Connecticut. Their prescriptions cost Medicare Part D more than their services did: $483,187 for 4,147 claims, against $4,304 paid for services in 2024. Janssen Biotech, Inc. reported $41.82 in payments in 2025, mostly food and beverage. Lists Bridgeport Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1417410887 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Apr 11, 2019 |
| Last updated in NPPES | Jan 18, 2024 |
| Certified by provider | Jan 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 75662 | CT |
| Internal Medicine | 207R00000X | 291275 | MA |
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 - Internal Medicine (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 73 across 15 procedure codes |
| Paid by Medicare | $4,304 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,147 · 9,063 30-day fills |
|---|---|
| Patients | 607 |
| Total drug cost | $483,187 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- Optimus Health Care IncBridgeport, CT · 79 clinicians
- Connecticut Institute for Communities IncDanbury, CT · 44 clinicians
Hospital affiliations
- Bridgeport HospitalBridgeport, CT
- Danbury HospitalDanbury, CT
Other facilities
- Western Connecticut Home Care IncHome health agency · Danbury, CT
Industry payments (Open Payments)
- 2025$41.82 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $41.82 | 1 |
What the 2025 payments were for
- Food and Beverage$41.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 125 internal medicine physicians in Danbury · All internal medicine physicians in Connecticut