NPPES file of Aug 9, 2026

Prateek Avinash Pophali, MD

Hematology & Oncology Physician · Providence, RI

Prateek Avinash Pophali, MD is a hematology & oncology physician with a practice address in Providence, Rhode Island, and NPI 1396205639, issued on Mar 22, 2019. Check the license (Rhode Island MD20481, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1396205639
Name
Prateek Avinash Pophali
Credential
MD
Primary taxonomy
Hematology & Oncology Physician 207RH0003X
License number
MD20481 RI
Self-reported in NPPES; status is on the state search
Practice location
593 Eddy Street, Providence, RI 02903
Phone
(401) 444-5435
Enumerated
Mar 22, 2019
Record last updated
Jun 6, 2025
Medicare enrollment
Enrolled (PECOS I20250624002518); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 593 Eddy Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sandra Aguiar, M.S., CCC-SLPSpeech-Language Pathologist1568522548
  2. Sibel Algon, MDPsychiatry Physician1891851648
  3. Saud Alhusaini, MD, PHDNeurology Physician1699253591
  4. Jason Aliotta, MDPulmonary Disease Physician1558314757
  5. Kerri Amaral, N.P.Acute Care Nurse Practitioner1851601611
  6. Ellen Andrews-Manocchia, CRNACertified Registered Nurse Anesthetist1306967104

Verify Prateek Avinash Pophali in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
    Search for license MD20481
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Rhode Island license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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86% fewer Medicare Part D claims than the average hematology & oncology physician in 2024

124 Medicare Part D claims for 30 beneficiaries, against an average of 877 among the 10,784 providers of this specialty who prescribed in Part D. Brand-name drugs were 31% of claims.

  1. Prateek Pophali124
  2. Specialty average877

Most prescribed

  1. Eliquis23 claims
  2. Acyclovir18 claims
  3. Pantoprazole Sodium11 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.

One hospital affiliation

  1. Rhode Island HospitalProvidence, RI · Acute Care Hospitals4 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Prateek Avinash Pophali among 88 hematology & oncology physician records in Rhode Island

Prateek Avinash Pophali, MD is one of 88 hematology & oncology physician records with a practice address in Rhode Island. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 86% of them.

  • NPI issued2019 · 86% of these records are older, 7% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 73% of these records are
  • Graduated2017 · median 2002 among the 64 with a school on file
  • Record last updated2025 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RH0003X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Hematology & Oncology Physician providers in Rhode Island

There are 88 hematology & oncology physician records in Rhode Island.

The 8 hematology & oncology physician records with the nearest ZIP codes

  1. Ariel Birnbaum, M.D.Providence, RI 029031942212790
  2. James Butera, M.D.Providence, RI 029031790797538
  3. Maria Constantinou, MDProvidence, RI 029031407999444
  4. Wafik El Deiry, MDProvidence, RI 029031275575714
  5. Katherine Faricy-Anderson, MD MPHProvidence, RI 029031194940700
  6. Mary Anne Fenton, M.D.Providence, RI 029031881606622
  7. Humera Khurshid, MDProvidence, RI 029031013991926
  8. Adam Olszewski, M.D.Providence, RI 029031467436915

Common questions

What is Prateek Avinash Pophali, MD's NPI number?

Prateek Avinash Pophali, MD's National Provider Identifier (NPI) is 1396205639, issued on Mar 22, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Prateek Avinash Pophali, MD located?

The NPPES record lists a practice address at 593 Eddy Street, Providence, RI, 02903. Phone: (401) 444-5435. Providers update this record themselves, so call before visiting.

How can I verify Prateek Avinash Pophali, MD's license?

NPPES lists Rhode Island license number MD20481, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Prateek Avinash Pophali, MD prescribe under Medicare Part D?

In 2024, Prateek Avinash Pophali, MD had 124 Medicare Part D claims for 30 beneficiaries; the average among hematology & oncology physician prescribers was 877. Part D covers Medicare prescriptions only.

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.