Pragati Banda, - Medicare Internal Medicine in Berkeley Heights, NJ

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Pragati Banda, is a medicare enrolled "Hospitalist" physician in Berkeley Heights, New Jersey. She graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Hospital Internists Of Texas Llc, Usacs Integrated Acute Care Services Of Texas, Pllc and her current practice location is 1 Diamond Hill Rd, Berkeley Heights, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 273-4300.

Pragati Banda is licensed to practice in New Jersey (license number 25MA08987400) 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 1649567298.

Contact Information

Pragati Banda,
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
(908) 273-4300
Not Available

Map and Direction




Physician's Profile

Full NamePragati Banda
GenderFemale
SpecialityInternal Medicine
Experience21 Years
Location1 Diamond Hill Rd, Berkeley Heights, New Jersey
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:
  • Pragati Banda graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1649567298
  • Provider Enumeration Date: 07/05/2011
  • Last Update Date: 05/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4486816287
  • Enrollment ID: I20210730001147

Medical Identifiers

Medical identifiers for Pragati Banda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649567298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine P5027 (Texas)Secondary
208M00000XHospitalist 25MA08987400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St David's Medical CenterAustin, TXHospital
Ascension Seton Medical Center AustinAustin, TXHospital
Seton Medical Center WilliamsonRound rock, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Internists Of Texas Llc650713358443
Usacs Integrated Acute Care Services Of Texas, Pllc7618237264286

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. Pragati Banda allows following entities to bill medicare on her behalf.
Entity NameHospital Internists Of Texas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912430281
PECOS PAC ID: 6507133584
Enrollment ID: O20170523000376
Entity NameUsacs Integrated Acute Care Services Of Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801300322
PECOS PAC ID: 7618237264
Enrollment ID: O20180131000478
Entity NameCareconnectmd Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043846132
PECOS PAC ID: 2163801754
Enrollment ID: O20220628002987

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. Pragati Banda 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
Pragati Banda,
7000 N Mopac Expy Ste 420,
Austin, TX 78731-3055

Ph: (856) 298-0591		Pragati Banda,
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104

Ph: (908) 273-4300

Reviews and Comments


Hospitalist Doctors in Berkeley Heights, NJ

Yosleisy Valdes Hernandez, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 866-396-9344    Fax: 908-830-0920
Lauren B. Vanover,
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 908-273-4300    
Dr. Anas N. Najib, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1 Diamond Hill Rd, Berkeley Heights, NJ 07922
Phone: 866-396-9344    Fax: 908-830-0920

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.