Jyoti Pradhananga, MD - Medicare Internal Medicine in Aventura, FL

Jyoti Pradhananga, MD is a medicare enrolled "Hospitalist" physician in Aventura, Florida. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Galen Inpatient Physicians Pc, Providence Saint Johns Medical Foundation, Galen Inpatient Physicians Pc and her current practice location is 21097 Ne 27th Ct Ste 480, Aventura, Florida. You can reach out to her office (for appointments etc.) via phone at (786) 428-1059.

Jyoti Pradhananga is licensed to practice in Connecticut (license number 80289) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518115047.

Contact Information

Jyoti Pradhananga, MD
21097 Ne 27th Ct Ste 480,
Aventura, FL 33180
(786) 428-1059
(786) 428-1062

Map and Direction




Physician's Profile

Full NameJyoti Pradhananga
GenderFemale
SpecialityInternal Medicine
Experience23 Years
Location21097 Ne 27th Ct Ste 480, Aventura, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jyoti Pradhananga graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1518115047
  • Provider Enumeration Date: 09/09/2008
  • Last Update Date: 10/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133382450
  • Enrollment ID: I20200730000041

Medical Identifiers

Medical identifiers for Jyoti Pradhananga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518115047NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME109042 (Florida)Secondary
207R00000XInternal Medicine C186801 (California)Secondary
208M00000XHospitalist C186801 (California)Secondary
208M00000XHospitalist ME109042 (Florida)Secondary
208M00000XHospitalist MD470463 (Pennsylvania)Secondary
208M00000XHospitalist 80289 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health BakersfieldBakersfield, CAHospital
Mercy Catholic Medical Center- Mercy FitzgeraldDarby, PAHospital
Saint Agnes Medical CenterFresno, CAHospital
Adventist Health Simi ValleySimi valley, CAHospital
Providence Saint John's Health CenterSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Galen Inpatient Physicians Pc36784646331017
Providence Saint Johns Medical Foundation0840548624286
Galen Inpatient Physicians Pc36784646331017

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jyoti Pradhananga allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373
Entity NameTower Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609291350
PECOS PAC ID: 7618889213
Enrollment ID: O20040311000072
Entity NamePhoenixville Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891866182
PECOS PAC ID: 5799796850
Enrollment ID: O20060606000128
Entity NamePottstown Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649341934
PECOS PAC ID: 6406857184
Enrollment ID: O20070123000573
Entity NameHospitalist Medicine Physicians Of Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639464308
PECOS PAC ID: 9234309840
Enrollment ID: O20110908001888
Entity NameGslpg, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366006702
PECOS PAC ID: 7810226875
Enrollment ID: O20190917001763

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jyoti Pradhananga is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jyoti Pradhananga, MD
21097 Ne 27th Ct Ste 480,
Aventura, FL 33180-1235

Ph: (786) 428-1059
Jyoti Pradhananga, MD
21097 Ne 27th Ct Ste 480,
Aventura, FL 33180

Ph: (786) 428-1059

Reviews and Comments


Hospitalist Doctors in Aventura, FL

Dr. Haim Sahalon, MD
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Practice Location: 20900 Biscayne Blvd, Aventura, FL 33180
Phone: 305-682-7000    
Dr. Nathan Asher, MD
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Phone: 305-682-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.