Prakash Mohan Kafle, M.D.
Infectious Disease Physician · Newport News, VA
Prakash Mohan Kafle, M.D. is an infectious disease physician with a practice address in Newport News, Virginia, and NPI 1073746897, issued on Aug 27, 2009. Check the license (Virginia 0101264684, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Prakash Mohan Kafle
- Credential
- M.D.
- Primary taxonomy
- Infectious Disease Physician 207RI0200X
- License number
- 0101264684 VA
Self-reported in NPPES; status is on the state search - Practice location
- 12420 Warwick Blvd Ste 4C, Newport News, VA 23606
- Phone
- (757) 596-7115
- Enumerated
- Aug 27, 2009
- Record last updated
- Jul 3, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (757) 596-7126
- Medicaid ID
- 18177 ND
- Medicare enrollment
- Enrolled (PECOS I20180814000174); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest infectious disease physician records → All 239 in Virginia → Look up another NPI →
Also registered at 12420 Warwick Blvd Ste 4C
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Robert Comer, M.D.Infectious Disease Physician1205056041
- Andrea Gonzalez, M.D.Infectious Disease Physician1336176403
- Anna Jaybanks, MDInfectious Disease Physician1386271815
- Rohit Kalia, MDInfectious Disease Physician1417277112
- Martha Mooney, MDInfectious Disease Physician1902872203
Verify Prakash Mohan Kafle in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101264684Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
49% more Medicare Part D claims than the average infectious disease physician in 2024
1,028 Medicare Part D claims for 154 beneficiaries, against an average of 689 among the 7,388 providers of this specialty who prescribed in Part D. Brand-name drugs were 45% of claims.
Most prescribed
- Biktarvy227 claims
- Sulfamethoxazole-Trimethoprim81 claims
- Tivicay46 claims
- Descovy41 claims
- Cephalexin38 claims
- Amoxicillin-Clavulanate Potass34 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.1 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $148.19
7 payments; by number, the most common kind was food and beverage; the largest payer was ViiV Healthcare Company. The 3,895 providers of this specialty with any payment received $4,362.19 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Riverside Physician Services IncHayes, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Prakash Mohan Kafle among 239 infectious disease physician records in Virginia
Prakash Mohan Kafle, M.D. is one of 239 infectious disease physician records with a practice address in Virginia. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 66% of them.
- NPI issued2009 · 66% of these records are older, 31% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2002 · median 2002 among the 145 with a school on file
- Record last updated2018 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RI0200X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Infectious Disease Physician providers in Virginia
There are 239 infectious disease physician records in Virginia.
All 239 in Virginia → Every provider in Newport News → Infectious Disease Physician nationwide →
The 8 infectious disease physician records with the nearest ZIP codes
- Robert Comer, M.D.Newport News, VA 236061205056041
- Andrea Gonzalez, M.D.Newport News, VA 236061336176403
- Jeffrey Harris, M.D.Newport News, VA 236061225098213
- Sharon Hopson, M.D.Newport News, VA 236061356507529
- Anna Jaybanks, MDNewport News, VA 236061386271815
- Rohit Kalia, MDNewport News, VA 236061417277112
- Martha Mooney, MDNewport News, VA 236061902872203
- Rahel Amare, MDNorfolk, VA 235101982618211
Common questions
What is Prakash Mohan Kafle, M.D.'s NPI number?
Prakash Mohan Kafle, M.D.'s National Provider Identifier (NPI) is 1073746897, issued on Aug 27, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Prakash Mohan Kafle, M.D. located?
The NPPES record lists a practice address at 12420 Warwick Blvd Ste 4C, Newport News, VA, 23606. Phone: (757) 596-7115. Providers update this record themselves, so call before visiting.
How can I verify Prakash Mohan Kafle, M.D.'s license?
NPPES lists Virginia license number 0101264684, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Prakash Mohan Kafle, M.D. prescribe under Medicare Part D?
In 2024, Prakash Mohan Kafle, M.D. had 1,028 Medicare Part D claims for 154 beneficiaries; the average among infectious disease physician prescribers was 689. Part D covers Medicare prescriptions only.
What is Prakash Mohan Kafle, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.1 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.