Dr Prathap R Naini, MD - Medicare Obstetrics & Gynecology in Takoma Park, MD

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Dr Prathap R Naini, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Takoma Park, Maryland. His current practice location is 7620 Carroll Ave Ste 201, Takoma Park, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 891-6647.

Dr Prathap R Naini is licensed to practice in Maryland (license number D0079635) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972898625.

Contact Information

Dr Prathap R Naini, MD
7620 Carroll Ave Ste 201,
Takoma Park, MD 20912-6388
(301) 891-6647
(301) 891-6654

Map and Direction




Physician's Profile

Full NameDr Prathap R Naini
GenderMale
SpecialityObstetrics & Gynecology
Location7620 Carroll Ave Ste 201, Takoma Park, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972898625
  • Provider Enumeration Date: 06/10/2011
  • Last Update Date: 02/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022324763
  • Enrollment ID: I20151030001719

Medical Identifiers

Medical identifiers for Dr Prathap R Naini such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972898625NPI-NPPES
101828100MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD043099 (District Of Columbia)Secondary
390200000XStudent In An Organized Health Care Education/training Program MT 199329 (Pennsylvania)Secondary
207V00000XObstetrics & Gynecology D0079635 (Maryland)Primary

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. Dr Prathap R Naini allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1578638425
PECOS PAC ID: 3779495858
Enrollment ID: O20040805001280
Entity NameSimmonds Martin & Helmbrecht Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558411934
PECOS PAC ID: 7012985492
Enrollment ID: O20041104000319
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1073678637
PECOS PAC ID: 3779495858
Enrollment ID: O20100729000796
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1366781700
PECOS PAC ID: 3779495858
Enrollment ID: O20130507000207
Entity NameKaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497023188
PECOS PAC ID: 3779495858
Enrollment ID: O20131029000108

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. Dr Prathap R Naini 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
Dr Prathap R Naini, MD
26005 Ridge Rd Ste 200,
Damascus, MD 20872-1899

Ph: (301) 414-2300		Dr Prathap R Naini, MD
7620 Carroll Ave Ste 201,
Takoma Park, MD 20912-6388

Ph: (301) 891-6647

Reviews and Comments


Obstetrics & Gynecology Doctors in Takoma Park, MD

Dr. Pablo V Renart, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 7610 Carroll Ave, Suite 210, Takoma Park, MD 20912
Phone: 301-270-2379    Fax: 301-270-2349
Dr. Lisa Michaela Godette, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 7610 Carroll Ave, Suite #450, Takoma Park, MD 20912
Phone: 301-270-2144    Fax: 301-270-2141
Dr. Arshad M Sheikh, MD.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 7610 Carroll Ave, Suite 220, Takoma Park, MD 20912
Phone: 301-891-6060    Fax: 301-891-6171
Dr. Mitra Foroogh-nassiraee, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 7620 Carroll Ave Ste 201, Takoma Park, MD 20912
Phone: 018-916-6473    Fax: 301-891-6654

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.