Pragneshkumar N Radadiya, MD - Medicare Family Practice in Indianapolis, IN

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Pragneshkumar N Radadiya, MD is a medicare enrolled "Family Medicine" physician in Indianapolis, Indiana. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Community Physicians Of Indiana Inc, Post Acute Care Specialists Llc and his current practice location is 1402 E County Line Rd, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 887-7805.

Pragneshkumar N Radadiya is licensed to practice in Indiana (license number 01069393A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548421985.

Contact Information

Pragneshkumar N Radadiya, MD
1402 E County Line Rd,
Indianapolis, IN 46227-0963
(317) 887-7805
Not Available

Map and Direction




Physician's Profile

Full NamePragneshkumar N Radadiya
GenderMale
SpecialityFamily Practice
Experience20 Years
Location1402 E County Line Rd, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pragneshkumar N Radadiya graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1548421985
  • Provider Enumeration Date: 06/18/2008
  • Last Update Date: 05/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4880886621
  • Enrollment ID: I20110620000655

Medical Identifiers

Medical identifiers for Pragneshkumar N Radadiya such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548421985NPI-NPPES
201022010MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01069393A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elite Home Rehab And Healthcare CorpCarmel, INHome health agency
Paradigm Living ConceptsIndianapolis, INHospice
Our Hospice Of South Central Indiana IncColumbus, INHospice
Heartland Hospice ServicesIndianapolis, INHospice
Community Hospital South, Inc.Indianapolis, INHospital
Reid Hospital & Health Care ServicesRichmond, INHospital
Margaret Mary Community Hospital IncBatesville, INHospital
Indiana University HealthIndianapolis, INHospital
Johnson Memorial HospitalFranklin, INHospital
Ridgewood Health CampusLawrenceburg, INNursing home
Manor Care Health Services Summer TraceCarmel, INNursing home
Shady Nook Care CenterLawrenceburg, INNursing home
Manderley Health Care CenterOsgood, INNursing home
Caroleton Healthcare CenterConnersville, INNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Physicians Of Indiana Inc17594166621319
Post Acute Care Specialists Llc56980927323

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. Pragneshkumar N Radadiya allows following entities to bill medicare on his behalf.
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20050318000726
Entity NameCommunity Physicians Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717
Entity NameSound Physicians Of Indiana, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528311149
PECOS PAC ID: 4981841780
Enrollment ID: O20130515000624
Entity NamePost Acute Care Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609268259
PECOS PAC ID: 5698092732
Enrollment ID: O20150330000164
Entity NameGps Physician Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881109452
PECOS PAC ID: 9739447400
Enrollment ID: O20180213002336
Entity NameHospitalist Medicine Physicians Of Indiana - Terre Haute, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609354232
PECOS PAC ID: 7911258512
Enrollment ID: O20180920001929
Entity NameInforme Healthcare In, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992276638
PECOS PAC ID: 9537407770
Enrollment ID: O20190213000486
Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20200818000277
Entity NameReliant Md Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952865495
PECOS PAC ID: 2466871207
Enrollment ID: O20201123001869
Entity NameInforme Hc Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255917647
PECOS PAC ID: 5698184885
Enrollment ID: O20210428002612
Entity NameGreenwood Primary Care Aesthetics And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699463232
PECOS PAC ID: 3577920461
Enrollment ID: O20230608000954

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. Pragneshkumar N Radadiya 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
Pragneshkumar N Radadiya, MD
6626 E 75th St, Ste 500,
Indianapolis, IN 46250-2805

Ph: () -		Pragneshkumar N Radadiya, MD
1402 E County Line Rd,
Indianapolis, IN 46227-0963

Ph: (317) 887-7805

Reviews and Comments


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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.