James Daniel Prahl, M.D.
NPI 1437211539ActiveIndividual· Internal Medicine, Critical Care Medicine· Milwaukee, WI
Internal Medicine, Critical Care Medicine (M.D.) in Milwaukee, Wisconsin, trained at Loyola University of Chicago, Stritch School of Medicine (class of 2005). Mostly services rather than prescriptions: Medicare paid $33,089 for 93 patients in 2024, with only 43 Part D claims.
Overview
| NPI | 1437211539 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 14, 2006 |
| Last updated in NPPES | Dec 1, 2021 |
| Certified by provider | Dec 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Critical Care Medicine Primary | 207RC0200X | 49725-020 | WI |
| Internal Medicine | 207R00000X | 49725-020 | WI |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 49725-020 | WI |
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 - Critical Care (Intensivists) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 259 across 12 procedure codes |
| Paid by Medicare | $33,089 |
Part D prescriptions in 2024
| Prescriptions (claims) | 43 · 67 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $6,074 |
| Generic share | 67% of claims |
Education and affiliations
| Medical school | Loyola University of Chicago, Stritch School of Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Critical Care (Intensivists) |
| Secondary specialties | Internal Medicine, Pulmonary Disease |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliations
- Aurora Medical Center KenoshaKenosha, WI
- Aurora St Lukes Medical CenterMilwaukee, WI
Other facilities
- Aurora at HomeHospice · Wauwatosa, WI
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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All 55 critical care physicians in Milwaukee · All critical care physicians in Wisconsin